SURE Open University Interest Form

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* 1. Do you agree that these personal data, provided through the form, may be processed by American Councils for International Education for the purpose of conducting activities specific to SURE program, in accordance with Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, repealing Directive 95/46/EC (General Data Protection Regulation or GDPR)?

Yes

No

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* 2. Full Name

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* 3. Please indicate your age range.

18-20

21-23

24-26

27-29

30 and over

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* 4. Please indicate your gender.

Female

Male

Prefer not to say

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* 5. Institution (University or College)

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* 6. Email

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* 7. Area of Interest (Choose all that apply.)

SURE Program Participation

Media Literacy Training

American Councils for International Education Internship Programs