Data Security Incident Form
Parents, eligible students (students who are at least 18 years of age or attending a postsecondary institution at any age) may file a complaint about a possible breach or improper disclosure of student data.  The information collected below will be sent directly to the Keshequa Data Protection Officer, Thomas Kopp at tkopp@keshequa.org.  
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Email *
First Name: *
Last Name:
Email Address: *
Phone Number: *
Role: *
Student Name: *
Description of Data Exposure Concern: *
Date: *
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Certification:  I certify that the information I have provided is true and accurate to the best of my knowledge.
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