Important information regarding confidentiality:

Please complete this form to provide your written indication that you do not wish the university to reveal your identity as an applicant for this this position. If you do not request confidentiality, the UW-Madison may be required under the Wisconsin Public Records Law to disclose your identity and/or application materials to anyone who requests that information. Candidates who advance to the finalist round of this search will be announced publicly prior to their campus visit.

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* 1. Your Name

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* 2. Your Email Address

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* 3. Confidentiality request

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