Privacy Policy Statement

2023-2024
FORM 10
PRIVACY POLICY
STUDENT NAME:
family name first name middle name
STATEMENT
Privacy Information about candidates and participants of programs is required for American Councils for International Education: ACTR/ACCELS to
administer the programs, to evaluate their quality and effectiveness, as well as to develop new projects.
American Councils firmly adheres to the principle of confidentiality of information received from program candidates and participants and uses the
information in accordance with this Privacy Policy Statement. The principles stated herein are binding only on American Councils; other organizations
involved in the administration of these programs may adhere to other privacy or similar policies.
1. CONTENT AND MEANS OF COMPILING INFORMATION

Information about program candidates and past and current participants consists of data contained in their applications, information derived from
interviews with them, as well as information gathered in the course of the program relating to the administration of the program and academic
achievement. This information, in addition to contact information, education, professional experience and information on the place and nature of work,
and position of participants may also include other personal information.
American Councils stores this information in written and electronic form. Some information, such as contact information is continually updated so that
representatives of American Councils can remain in contact with program participants in order to offer supplemental information about new programs
and projects as well as to obtain the participants' evaluation of the effectiveness of programs.
2. USE OF INFORMATION
Information, which is compiled as described above, may be:
 Used by qualified selection committees and interviewers to review the candidacy of applicants to the program;
 Supplied to the program’s funding organization;
 Submitted to potential host schools, universities, or hosting organizations and/or organizations which provide internship opportunities to arrange
placement in an academic, training, or internship program or a host family;
 Used for the evaluation of an individual’s participation in the program and adherence to norms and rules established by the program;
 Used for notifying past program participants of upcoming events and about new programs and projects they may participate in;
 Used in the collection of data for program evaluation purposes;
 Provided to funding agencies or organizations contracted by American Councils to conduct program evaluations;
 Provided to participants and alumni of this and other U.S. government–sponsored programs for the purpose of fostering alumni networking;
 Provided to non-commercial organizations for the purposes promoting professional development among program alumni.
Information about individuals — program candidates and participants — may also be used by American Councils, funding agencies, and their
representatives for the purpose of statistical and evaluative research of the programs. Information analyzed for these purposes may be published only as
aggregate statistical data. Personal data are not subject to publication, except for contact information and information related to the U.S. academic or
professional program (such as placement location: school, university, etc., or hosting organization; field of study and research topic), to subsequent
involvement in alumni programming (such as participation in events for alumni and the small grant programs) as well as information provided to
American Councils by the participant or alumnus/na (unless the participant or alumnus/na expressly prohibits publication of said material).
Student Name:
SIGNATURE:
City/Country of Residence: Date:
I hereby agree to the terms of the collection, use, updating (changing, renewal), cross-border sending and retention (and any and all other
uses as stipulated in Forms 1, 3, 4, 5, 6, 7, 9, M) of the personal information in this application, additionally including the processing of
special personal information dealing with religious persuasion, health condition, and personal and family life, concerning my son/
daughter with the purpose, covered in the Privacy Policy Statement, of using the information for the period of the program, for statistical
and evaluation purposes of the program. This agreement can be rescinded by me in writing.
Student’s Parent or
Legal Guardian’s Name:
SIGNATURE:
City/Country of Residence: Date:

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2023-2024

1. CONTENT AND MEANS OF COMPILING INFORMATION

City/Country of Residence: Date:

City/Country of Residence: Date:

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