California Consumer Privacy Act Request Form

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For California Residents Only

Under the California Consumer Privacy Act, California residents have the right to:

1. Opt out of the sale of their personal information “Do Not Sell My Personal Information Request”
2. Request information about the personal data held on them “Personal Information Disclosure Request”
3. Request deletion of their personal information “Delete My Personal Information Request”

If you are a California resident and would like to submit a request under the California Consumer Privacy Act, please continue to the next page.

By clicking continue, you attest to being a California resident or that you are submitting a request on behalf of a California resident as an authorized agent, which will require written consent.

eSchool Media values your privacy. If you are a California resident, you may submit a request under the California Consumer Privacy Act by completing the form below. The personal information you provide as part of this request will be used to process your request and for no other reason. Before submitting your request, we recommend you review our Privacy Policy which contains information on the collection, use and disclosure of your personal information.

Type of Request(Required)

Do Not Sell My Personal Information Request

Personal Information Disclosure Request

Delete My Personal Information Request

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Enter Email Confirm Email

Phone(Required)

Preferred Method to Receive Updates About This Request(Required)

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