Limit the Use of My Sensitive Personal information.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

All fields are required (except where noted).


This field is hidden when viewing the form

This field is hidden when viewing the form
Date of Birth
I understand that by clicking on the "I Accept & Continue" button below, I am providing "written instructions" to Aristotle International, Inc. (Aristotle) authorizing Aristotle, to access my personal information from Aristotle. I authorize Aristotle, Inc. to access such information solely to confirm my identity and perform the action(s) requested. I warrant and represent that the information I am providing is true and correct and that I am making this request on my own behalf and with respect to my own information and identity. I further understand that Aristotle may require additional information to confirm my identity before processing my request.