In accordance with the Privacy Act of 1974 (Public Law No.93-579, u.s.c.552a), you are hereby notified that the Department Of Education is authorized to collect information to implement the SSS program under Title IV of the Higher Ed Act of 1965, as amended (Pub.Law 102-325. Sec/4-02D). In accordance with this authority, the Dpt. receives and maintains personal information on participants in the SSS program. The principal purpose for collecting this info is to administer the program, including tracking and evaluating participant progress. Providing the info on this form is voluntary. The information that is collected will be retained in the program files and may be released to other department officials in the performance of their official duties. PSC does not discriminate against any person on the basis of race, ethnicity, national origin, color, gender/sex, age, religion, marital status, disability, sexual orientation or genetic info in its educational programs, activities or employment. For inquiries regarding nondiscrimination policies, contact the Associate Vice President of Institutional Diversity at (850) 484-1759, PSC, 1000 College Blvd., Pensacola, FL 32504. PSC is an affirmative action/equal opportunity institution.