Form to Request that Climate Reality Rectify or Update my Data SHARE Country of residence - None - Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Argentina Armenia Aruba Ascension Island Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia & Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Caribbean Netherlands Cayman Islands Central African Republic Ceuta & Melilla Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo - Brazzaville Congo - Kinshasa Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czechia Côte d’Ivoire Denmark Diego Garcia Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard & McDonald Islands Honduras Hong Kong SAR China Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR China Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands North Korea North Macedonia Norway Oman Outlying Oceania Pakistan Palau Palestinian Territories Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Samoa San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia & South Sandwich Islands South Korea South Sudan Spain Sri Lanka St. Barthélemy St. Helena St. Kitts & Nevis St. Lucia St. Martin St. Pierre & Miquelon St. Vincent & Grenadines Sudan Suriname Svalbard & Jan Mayen Sweden Switzerland Syria São Tomé & Príncipe Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad & Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu U.S. Outlying Islands U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis & Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands Is the person whose data should be rectified or updated the age of majority in the country in which they reside? 18 years old in many countries, EU residents must be at least 16 - Select - Yes No First Name of person whose data should be rectified or updated Last Name of person whose data should be rectified or updated Email of person whose data should be rectified or updated My own First name if I am requesting on behalf of someone else My own last name if I am requesting on behalf of someone else My own email if I am requesting on behalf of someone else Legal Relationship - Select - |Parent/Guardian Attorney, Executor, or Legal Representative Other – if I select this option Climate Reality will correspond with me directly for more information about whether Climate Reality is allowed to comply with my request. By submitting this request, I represent that I am legally authorized to make this request on behalf of the person whose data should be erased. Data Fields that should be rectified or updated Corrected or Updated Surname Corrected or Updated Email Address Corrected or Updated Alternate Email address Corrected or Updated SMS or Phone number Corrected or Updated Country of Residence - None - Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Argentina Armenia Aruba Ascension Island Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia & Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Caribbean Netherlands Cayman Islands Central African Republic Ceuta & Melilla Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo - Brazzaville Congo - Kinshasa Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czechia Côte d’Ivoire Denmark Diego Garcia Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard & McDonald Islands Honduras Hong Kong SAR China Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR China Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands North Korea North Macedonia Norway Oman Outlying Oceania Pakistan Palau Palestinian Territories Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Samoa San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia & South Sandwich Islands South Korea South Sudan Spain Sri Lanka St. Barthélemy St. Helena St. Kitts & Nevis St. Lucia St. Martin St. Pierre & Miquelon St. Vincent & Grenadines Sudan Suriname Svalbard & Jan Mayen Sweden Switzerland Syria São Tomé & Príncipe Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad & Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu U.S. Outlying Islands U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis & Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands Corrected or Updated Municipality Corrected or Updated Postal Code Are you a Global Shaper or Young Global Leader? YES/NO to correct or update your information - None - Yes No Corrected or Updated Shape Hub Corrected or Updated Shape Projects Corrected or Updated Shape Goals Are you a Climate Reality Leader? - None - Yes No Corrected Birthday Work Email Address Country of Passport Issuance - None - Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Argentina Armenia Aruba Ascension Island Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia & Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Caribbean Netherlands Cayman Islands Central African Republic Ceuta & Melilla Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo - Brazzaville Congo - Kinshasa Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czechia Côte d’Ivoire Denmark Diego Garcia Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard & McDonald Islands Honduras Hong Kong SAR China Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR China Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands North Korea North Macedonia Norway Oman Outlying Oceania Pakistan Palau Palestinian Territories Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Samoa San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia & South Sandwich Islands South Korea South Sudan Spain Sri Lanka St. Barthélemy St. Helena St. Kitts & Nevis St. Lucia St. Martin St. Pierre & Miquelon St. Vincent & Grenadines Sudan Suriname Svalbard & Jan Mayen Sweden Switzerland Syria São Tomé & Príncipe Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad & Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu U.S. Outlying Islands U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis & Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands Corrected or Updated Employed status - None - Yes No Employer Name Employer Industry Job Title self-employed Website Second Employer: Second Employer Industry Corrected or Updated Name of Group or Association name of Group or Association Industry Role title within Group or Association Group or Association website Name of Second Group or Association: Second Group or Association website: Corrected or Updated Student status: - None - Yes No Program Education Level: - None - Secondary School Undergraduate Graduate Doctorate Post Doctorate Institution Name Corrected or Updated Institution Website Anticipated Graduation Date Corrected or Updated Primary Language - None - Afrikaans Amharic Arabic Asturian Azerbaijani Belarusian Bulgarian Bengali Tibetan Bosnian Catalan Czech Welsh Danish German Dzongkha Greek English Esperanto Spanish Estonian Basque Persian, Farsi Finnish Filipino Faeroese French Frisian, Western Irish Scots Gaelic Galician Swiss German Gujarati Hebrew Hindi Croatian Haitian Creole Hungarian Armenian Indonesian Icelandic Italian Japanese Javanese Georgian Kazakh Khmer Kannada Korean Kurdish Kyrgyz Lao Lithuanian Latvian Malagasy Macedonian Malayalam Mongolian Marathi Bahasa Malaysia Burmese Nepali Dutch Norwegian Bokmål Norwegian Nynorsk Occitan Punjabi Polish Portuguese, Portugal Portuguese, Brazil Romanian Russian Scots Northern Sami Sinhala Slovak Slovenian Albanian Serbian Swedish Swahili Tamil Tamil, Sri Lanka Telugu Thai Turkish Tuvan Uyghur Ukrainian Urdu Vietnamese Lolspeak Chinese, Simplified Chinese, Traditional Corrected or Updated Secondary Language - None - Afrikaans Amharic Arabic Asturian Azerbaijani Belarusian Bulgarian Bengali Tibetan Bosnian Catalan Czech Welsh Danish German Dzongkha Greek English Esperanto Spanish Estonian Basque Persian, Farsi Finnish Filipino Faeroese French Frisian, Western Irish Scots Gaelic Galician Swiss German Gujarati Hebrew Hindi Croatian Haitian Creole Hungarian Armenian Indonesian Icelandic Italian Japanese Javanese Georgian Kazakh Khmer Kannada Korean Kurdish Kyrgyz Lao Lithuanian Latvian Malagasy Macedonian Malayalam Mongolian Marathi Bahasa Malaysia Burmese Nepali Dutch Norwegian Bokmål Norwegian Nynorsk Occitan Punjabi Polish Portuguese, Portugal Portuguese, Brazil Romanian Russian Scots Northern Sami Sinhala Slovak Slovenian Albanian Serbian Swedish Swahili Tamil Tamil, Sri Lanka Telugu Thai Turkish Tuvan Uyghur Ukrainian Urdu Vietnamese Lolspeak Chinese, Simplified Chinese, Traditional Corrected or Updated Trained in: Corrected or Updated Biography: Corrected or Updated membership in a Chapter: Corrected or Updated membership in a Campaign: Corrected or Updated How did you hear about us: - None - Press Referral by Climate Reality Leader: Referral by Climate Reality Staff Member: Social Media Email from The Climate Reality Project Climate Reality Branch Office The Climate Reality Project website Event attendance Listserv Another organization Name of event attended Name of Climate Reality Leader Name of Climate Reality Staff Member Climate Reality Branch Office - None - Africa Australia Bangladesh Brazil Canada China Europe India Indonesia Mexico & Latin America Nepal Pakistan Philippines United States Other Organization Name Other Organization Webpage Press Type - None - Magazine Newspaper Press_Release Radio Television Website Social Media Referral type - None - Facebook LinkedIn Twitter Instagram Other Corrected or Updated Donor - None - Yes No Facebook URL LinkedIn URL Twitter URL Website URL Blog URL Additional Information that could be helpful for us to process this request I request that The Climate Reality Project process the personal information I submit in this form and any information in subsequent correspondence for the purpose of processing my request.” I consent to the Privacy Policy: https://www.climaterealityproject.org/privacy-policy I understand that The Climate Reality Project will not be able to process this request without the information required by this form. By typing my full name above, I represent that I am at least the age of majority in my country of residence, which is 16 years of age in the E.U. for data privacy consent, and 18 years of age in many places around the world and that I am providing Climate Reality with my digital signature, which is as legally binding as my physical signature. Please note that my signature must exactly match the first and surnames that I entered at the top of this web form in order for my submission to be successful.