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Are you a citizen of a European Union Member State?

Having read this notice provided by the Data Controller pursuant to Article 12 of the EU GDPR and having taken due to the rights set forth by Articles from 15 to 22 of the same, I hereby give consent for the use of my personal data (including sensitive data) for the purposes outlined in this notice.

For his/her personal data (including sensitive data) to be transferred overseas pursuant to the provisions of article 49 (1) (a) of the EU GDPR, and more specifically to the United States of America, even if this country were not considered a privacy safe harbor by the EU competent authorities due to the absence of appropriate safeguards:

For the use of his/her personal sensitive data for the purposes outlined in this notice, this being personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, trade union membership, genetic data, biometric data, data concerning health or the person’s sex like or sexual orientation:

I also hereby waive any right to privacy or confidentiality regarding La Salle reporting to the appropriate authorities if I am seriously ill; suffer an injury; am the victim or perpetrator of harassment, whether on or off campus; am the victim or the perpetrator of sexual or gender-based misconduct and/or of criminal behavior, whether on or off campus, and I grant La Salle staff, faculty and administrators full authority to report to the appropriate authorities any and such all incidents, under the applicable laws (including but not limited to Title IX and Clery Act), whether or not it involves disciplinary action.  Please provide your electronic signature here: