You have been asked to complete this webform because you have given general permission for another institution/organization to obtain information, including your conduct history, from the time you were enrolled at Ñî¹óåú´«Ã½ÊÓƵ.

By completing this form at the request of Ñî¹óåú´«Ã½ÊÓƵ's Dean of Students, you are giving permission for the appropriate University officials to release information to the requesting institution or organization.

Enter the month/year you began and ended your studies at Ñî¹óåú´«Ã½ÊÓƵ. Example: 9/2010-6/2014.
Have you ever been found in violation of a disciplinary proceeding whether related to academic misconduct, sexual misconduct, or behavioral misconduct?
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