2023-24 Academic Year Question Title * Last Name Question Title * First Name Question Title * College or InstitutionSelect the institution you attended during the current Opt-Out Data Collection Term listed above. The list only includes institutions required to submit data in PIMS during this term. Bucks County Community College Butler County Community College Carlow University Cheyney University Commonwealth University - Bloomsburg Commonwealth University - Lock Haven Commonwealth University - Mansfield Community College of Allegheny County Community College of Beaver County Community College of Philadelphia Delaware County Community College East Stroudsburg University Harrisburg Area Community College (HACC) Indiana University Kutztown University Lackawanna College Lehigh Carbon County Community College Lincoln University Luzerne County Community College Millersville University Montgomery County Community College Northampton Community College Northern Pennsylvania Rural Regional College Penn State University Pennsylvania Highlands Community College Pennsylvania Western University - California Pennsylvania Western University - Clarion Pennsylvania Western University - Edinboro Reading Area Community College Shippensburg University Slippery Rock University Temple University Thaddeus Stevens School of Technology University of Pittsburgh West Chester University Westmoreland County Community College Question Title * Student Identification NumberEnter your student identification number at the institution selected. DO NOT enter your social security number (SSN). Question Title * Data Collection Opt-Out AcknowledgementBy submitting this form I am requesting the postsecondary institution that I have selected to exclude my information from its PIMS data submission for the term indicated on this form. I am aware that the PDE will use the information I provide to notify the postsecondary institution of my decision to opt-out of this data collection. Acknowledge Submit