Have you ever been found to be in violation of a school rule, policy or procedure, or an honor code; or have you otherwise been disqualified, put on probation, suspended, dismissed, expelled, or otherwise been subject to disciplinary action any college/university in connection to misconduct? Please include any and all instances of misconduct regardless of whether the school maintains a record of such misconduct or formal action, or whether it appears on your transcript. Yes No If you answered yes, enter an explanation here regarding each violation. Include 1) a brief description of the situation, 2) the specific charge(s) made, 3) the disciplinary action taken, and 4) a reflection on the experience and how the experience has affected your life. Are you currently charge or have been convicted of felony? Yes No If yes, an explanation in this box. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequences and 5) a reflection on the incident and how the incident has impacted your life. Are you currently charge or have been convicted of a misdemeanor? Yes No If yes, enter an explanation in this box. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequences and 5) a reflection on the incident and how the incident has impacted your life. Have you ever been denied professional licensure, had a professional licensure revoked or suspended; or have been subject to disciplinary action by any licensure board or agency? Yes No If yes, please set forth the dates and details. Dental students interact with patients from many backgrounds. than English, indicate any language in which you feel comfortable conversing with native speakers:
Have you ever been found to be in violation of a school rule, policy or procedure, or an honor code; or have you otherwise been disqualified, put on probation, suspended, dismissed, expelled, or otherwise been subject to disciplinary action any college/university in connection to misconduct? Please include any and all instances of misconduct regardless of whether the school maintains a record of such misconduct or formal action, or whether it appears on your transcript. Yes No If you answered yes, enter an explanation here regarding each violation. Include 1) a brief description of the situation, 2) the specific charge(s) made, 3) the disciplinary action taken, and 4) a reflection on the experience and how the experience has affected your life. Are you currently charge or have been convicted of felony? Yes No If yes, an explanation in this box. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequences and 5) a reflection on the incident and how the incident has impacted your life. Are you currently charge or have been convicted of a misdemeanor? Yes No If yes, enter an explanation in this box. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequences and 5) a reflection on the incident and how the incident has impacted your life. Have you ever been denied professional licensure, had a professional licensure revoked or suspended; or have been subject to disciplinary action by any licensure board or agency? Yes No If yes, please set forth the dates and details. Dental students interact with patients from many backgrounds. than English, indicate any language in which you feel comfortable conversing with native speakers: