Instructions:

• Please click on the form above to download, print, and fill out

• Email completed form to researcher at zdayton@capellauniversity.edu or submit through the “contact me” tab on the website

• Reach out to researcher if you have any questions or need assistance filling out the opt-out form

• The researcher will email you back a copy of the form with researcher’s signature to confirm opt-out options and that data already collected has been permanently deleted