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Disciplinary history
Please Note: Common App member colleges carefully consider all parts of your application. Information provided below will be considered
in the context of the rest of your application and does not necessarily prevent you from being admitted to college. For more information on
whether specific colleges choose to receive this information or how it may be considered, please see the My Colleges tab.
Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9th
grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in a
disciplinary action? These actions could include, but are not limited to: probation, suspension, removal, dismissal, or expulsion from the
institution.
Yes No
If you answered “yes”, please attach a separate sheet of paper that gives the approximate date(s) of each incident, explains the circumstances,
and reflects on what you learned from the experience.
Additional information
Community disruptions such as COVID-19 and natural disasters can have deep and long-lasting impacts. If you need it, this space is yours
to describe those impacts. Colleges care about the effects on your health and well-being, safety, family circumstances, future plans, and
education, including access to reliable technology and quiet study spaces. For more information, check out our COVID-19 FAQ. Please
attach a separate sheet if you wish to share anything on this topic. Max word count: 250
You have the option to provide details of circumstances or qualifications not reflected in the application. If you wish to do so, please
attach a separate sheet with the details. Max word count: 650
Signature
Application fee payment
If this college requires an application fee, how will you pay it?
Online By mail Fee waiver request
Signature
I certify that all information submitted in the admission process - including this application and any other supporting materials - is my own
work, factually true, and honestly presented, and that these documents will become the property of the institution to which I am applying
and will not be returned to me. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation,
expulsion, or revocation of course credit, grades, and degree should the information I have certified be false.
I agree to notify the institutions to which I am applying immediately should there be any change to the information requested in this
application, including disciplinary history.
I understand that once my application has been submitted it may not be altered in any way; I will need to contact the institution directly if I
wish to provide additional information.
I affirm that I will send an enrollment deposit (or equivalent) to only one institution; sending multiple deposits (or equivalent) may result in
the withdrawal of my admission offers from all institutions. [Note: students may send an enrollment deposit (or equivalent) to a second
institution where they have been admitted from the waitlist, provided that they inform the first institution that they will no longer be
enrolling.]
Signature Date
mm/dd/yyyy
Common Application member institutions are committed to promoting access, equity, and integrity, in the college admissions process for all students. Each member adheres to our
Guiding Principles as part of their membership.