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Liaison

Other Information

Language Proficiency

Enter any additional languages other than English (including American Sign Language) in which you are fluent enough to conduct therapy.

Military Status

If you have US military experience, select your anticipated status at the time of enrollment from the drop-down. Select Not a member of the military if this does not apply.

Professional Conduct

Respond to several questions related to your professional conduct. If you select Yes for any of these questions, enter more details in the space provided. Each response can be up to 3,000 characters in length.

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