Data Sharing Consent Form

Elevate for Humanity Career & Training Institute

January 1, 2025Version 1.0

1.Purpose

This consent authorizes Elevate for Humanity to share your personal and educational data with designated agencies and partners as required for program funding, compliance reporting, and workforce development services under WIOA, JRI, the Workforce Ready Grant, and DOL Registered Apprenticeship programs.

2.Data That May Be Shared

Name, date of birth, Social Security Number (last 4 digits for reporting)
Contact information (address, phone, email)
Enrollment status, program of study, and start/end dates
Attendance records and academic progress
Employment status at enrollment and upon program exit
Credential and certification attainment
Funding source and financial assistance received
Demographic information required for federal reporting (PIRL)

3.Authorized Recipients

Indiana Department of Workforce Development (DWD) — WIOA Title I compliance and outcome reporting
WorkOne / Local Workforce Development Boards — Case management and co-enrollment services
Indiana Department of Correction / JRI Program — Justice Reinvestment Initiative reporting
U.S. Department of Labor — Registered Apprenticeship RAPIDS reporting
Employer Partners — Limited to attendance and progress for apprenticeship and OJT placements
Funding Agencies — Organizations providing tuition assistance, grants, or scholarships
Accreditation and Compliance Bodies — As required for program approval and audit

4.How Data Is Protected

All data is transmitted via encrypted connections (TLS 1.2+)
Access is limited to authorized personnel with a need-to-know
Data is stored in Supabase with row-level security and audit logging
Elevate does not sell your data to third parties
Data retention follows FERPA and applicable federal program requirements

5.Duration

This consent is effective from the date of signing and remains in effect for the duration of your enrollment and for three (3) years following program completion, withdrawal, or exit, as required by federal reporting obligations.

6.Right to Revoke

You may revoke this consent at any time by submitting a written request to info@elevateforhumanity.org. Revocation is not retroactive. Revoking consent may affect your eligibility for funded programs that require data sharing for compliance.

7.Contact

Elevate for Humanity — Program Director
8888 Keystone Crossing, Suite 1300, Indianapolis, IN 46240
Email: info@elevateforhumanity.org · Phone: (317) 314-3757

Sign This Agreement

By signing below you confirm you have read and agree to the terms above.

Full Legal Name *

Signature Method

I have read and understand this agreement in full. I agree to be bound by its terms. I understand this constitutes a legally binding electronic signature under the Electronic Signatures in Global and National Commerce Act (E-SIGN).

Signature, IP address, and timestamp recorded securely.