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 Lawrence University.

By completing this form at the request of Lawrence University'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 Lawrence. 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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