Privacy Data Subject Rights Request

Under domestic and international law, Cornell University must collect and use data to perform its mission. Individuals may use this form to make a data privacy request in accordance with their country’s laws. Cornell University will review the request and act as it discerns appropriate. Cornell’s ability to respond to your request may be governed by multiple laws, some of which may grant you certain rights to your data, others of which may prevent Cornell from fulfilling your request.

Information you provide on this form will only be used to identify the data associated with your request and to respond to your request. All information is required. If you do not provide this information, the university may be unable to proceed.

Where do you reside?

European Union

United Kingdom

China

United States

Other

Please Select State

Please provide more information on what country you reside

Cornell NetID (if you have one)

Relationship to Cornell (check all that apply)

Please describe your relationship to Cornell

Are you the Data Subject?

I am the Data Subject (i.e. the individual whose rights are being exercised)

I am not the Data Subject, but acting on the Data Subject’s behalf as his or her agent.

Data Subject Additional Info

Please provide name and contact information of agent or provide proof of written authority to make this request by attaching documentation at the bottom of this form

Reason for your request (check all that apply)

Access my personal data

Withdraw my consent to process my personal data

Correct or update my personal data

Restrict use of my personal data

Object to the use of my personal data

Erase my personal data

Obtain information about the collection and use of my personal data

Exercise rights about automated decision-making and profiling

Other (describe)

Please provide more information about your request.

Personal data to be considered

Describe in detail the personal data and Cornell-related program or other activity that pertains to your request. Include time periods, websites, and any other identifying information that will help us respond to your request.

Example: “In 2020, I participated in the Cornell in Rome program and I would like to access the data I submitted as an applicant”.

Do not include information that reveals your racial or ethnic origin, political opinions, religious or philosophical beliefs, trade union membership, genetic data, biometric data, or data concerning your health or sex life or sexual orientation, or any other sensitive data.

Attestation

I declare that to the best of my knowledge, the information I have provided on this form is correct.
I understand that it is necessary for Cornell University to confirm my/the data subject’s identity, and that, in certain circumstances, it may be necessary for the University to obtain more detailed information from me in order to fulfill my request.

I Agree

Thank you for submitting your request. Please be advised that applicable law may allow or require us to refuse to provide access to some or all of the personal data that we hold, or we may have destroyed, erased, or made your personal data anonymous in accordance with our record retention policies and practices. If we cannot fulfill your request, we will inform you of the reasons why, subject to any legal or regulatory restrictions.

Please also be advised that Cornell may take up to one calendar month to respond, though we strive to respond sooner. If we are unable to comply with your request within this timeframe, we may extend the applicable deadline for up to an additional two months by notifying you in writing within the initial one-month period, where permitted by applicable law.

Your name

Your email address

Verification Code

Privacy Data Subject Rights Request

Other Fields