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Liaison International

Other Information

Language Proficiency

Select your native language (the language of your birth). If you speak additional languages, click Add Another Language. Then, select the language(s) and the level of your proficiency in each.

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.

License Infraction

Indicate whether you have ever had any certification, registration, license, or clinical privileges revoked, suspended, or in any way restricted by an institution, state, or locality. If yes, enter an explanation in the spaces provided. 

Social Security Number

Enter your social security number. Your designated programs may require your SSN for institutional or federal financial aid forms. Contact your programs directly with any questions

Additional Questions

Select your answers to any additional questions. Answering these questions helps programs gather information to develop future recruitment strategies.

Standard Application Questions Regarding Prior Academic Misconduct

Indicate whether you've ever been disciplined for a violation of academic integrity. If so, provide an explanation in the space provided.

Standard Application Questions Regarding Prior Convictions

Indicate the following:

  • Whether you've ever been convicted of a felony (without such conviction being vacated).
  • Whether you've ever been convicted of a misdemeanor for which the sentence was imprisonment (without such conviction being vacated). 
  • Whether you've been convicted within the past five years of any misdemeanor (without such conviction being vacated). This excludes convictions for drunkenness, simple assault, speeding, minor traffic violations, affray, or disturbance of the peace.

If you answer yes to any of these questions, enter an explanation in the space provided.

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