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This information is for statistical analysis only. It is not used in the admission process and will have no bearing on your admission status.
Name of License and Exipiration Date
Please list the last institution in which you were granted a degree
A yes does not automatically disqualify you from admission, but you will be asked to provide additional information. This information will be reviewed by a campus committee to ensure campus safety. All circumstances will be considered.
My signature below certifies to the best of my knowledge the foregoing information is true and complete without evasion or misrepresentation. I understand if it is later found otherwise, it is sufficient cause for rejection or dismissal.
or electronically sent via an approved method to [email protected]