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Liaison

Other Information

Social Security Number

Indicate if you have a social security number. If Yes, 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.

Language Proficiency

Indicate if English is your native language. If you select No, select your native language from the drop-down. Then, indicate if you speak, read, or write in any language other than English. If you select Yes, select the language(s) and your proficiency level(s).

Academic Infraction

Indicate whether you have ever been disciplined or placed on academic probation while attending an academic institution. If you select Yes, enter a brief explanation in the field provided. Include:

  1. A brief description of the incident
  2. Specific charge made
  3. Related dates
  4. Consequence
  5. A reflection on the incident and how the incident has impacted your life.

Criminal Charges

Indicate whether you have ever entered a plea of guilty, no contest, nolo contendere, or an Alford plea or received a deferred prosecution or prayer for judgment continued to a criminal charge. If you select Yes, enter a brief explanation in the field provided.

Convictions

Indicate whether you have ever been convicted of a crime. If you select Yes, enter a brief explanation in the field provided.

Pending Charges

Indicate whether you have criminal charges pending against you. If you select Yes, enter a brief explanation in the field provided.

Additional Questions

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

LinkedIn Profile

Enter your LinkedIn profile URL. This section is optional.

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