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License Infraction

License Infraction

This question block is in the Other Information tile, Personal Information quadrant.

Rule to Use: This is optional to enable.

Applicant View

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If'Yes' is selected, the required follow up question will appear.

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Post Submission Updates

This section can be updated post submission.

Validations

Question

Validation

Have you ever had any certification, registration, license or clinical privileges revoked, suspended or in any way restricted by an institution, state or locality? Required if Block is Added
If you answered "Yes" to the previous question, you must provide an explanation. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequence, and 5) a reflection on the incident and how the incident has impacted your life. Required if Previous Answer is "Yes"

Admissions View in WebAdMIT

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WebAdMIT Fields Details

Field Category

Field Name

Field Identifier Order Data Type Has Many Required Association Portal Institution Portal Advisor Portal
Background Certification/License Revoked/Suspended? revocation 5 Boolean No Yes Yes No No
Background Certification/License Revoked/Suspended Explanation

revocation_explanation

6 Memo No No Yes No No

WebAdMIT Field Attributes

Field Category

Field Name

Field Identifier

Visible in WebAdMIT UI

Associated Panel - Subpanel

Available in Export Manager Available in List Manager Available in Scoring Manager Available to Merge into Emails Available to Add to the Applicant Header Available in Batch PDF File Names
Background Certification/License Revoked/Suspended? revocation Yes Infractions/Licenses Yes Yes No No No No
Background Certification/License Revoked/Suspended Explanation revocation_explanation Yes Infractions/Licenses Yes No No No No No

Admissions View in the WebAdMIT PDF

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Admissions View in Outcomes

Screen shot does not show conditional explanation box.

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Outcomes Field Details

CAS Field Name or Custom Question Text CAS Standard or Custom Block? Outcomes Application Record Navigation Link Name (Left Menu) Outcomes Application Question Header Outcomes Application Question Field Name Outcomes Application Question Type Outcomes Field Dictionary Search Key Outcomes Field Dictionary Field Label Outcomes Field Dictionary Field Name
Form Key
Outcomes Response Options Outcomes Application Form Label Application or Contact Field
Have you ever had any certification, registration, license or clinical privileges revoked, suspended or in any way restricted by an institution, state or locality? Standard License Infraction License Infraction Have you ever had any certification, registration, license or clinical privileges revoked, suspended or in any way restricted by an institution, state or locality? String licenseInfraction Have you ever had any certification, registration, license or clinical privileges revoked, suspended or in any way restricted by an institution, state or locality? forms.casLicense.licenseInfraction
  • Yes
  • No
License Infraction Indicator Application field

If you answered "Yes" to the previous question, you must provide an explanation. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequence, and 5) a reflection on the incident and how the incident has impacted your life.

(displays only if 'Yes' is selected to above question)

Standard License Infraction     String licenseInfractionExplanation If you answered "Yes" to the previous question, you must provide an explanation. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequence, and 5) a reflection on the incident and how the incident has impacted your life. forms.casLicense.licenseInfractionExplanation 5000 characters License Infraction Explanation Application field

Outcomes Field Attributes

Field Name from CAS Outcomes Application Question Field Name Available to Merge into Emails Available on Application Grid Available on Application Grid Segment Included on Outcomes Default Full Application PDF Available in Exports
Have you ever had any certification, registration, license or clinical privileges revoked, suspended or in any way restricted by an institution, state or locality? No Yes Yes Yes Yes Yes

If you answered "Yes" to the previous question, you must provide an explanation. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequence, and 5) a reflection on the incident and how the incident has impacted your life.

(displays only if 'Yes' is selected to above question)

No Yes Yes Yes Yes Yes

Admissions View in the Outcomes PDF

Screen shot does not show the conditional explanation box.

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