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Please don't fill out this input box.
海角社区 Anti-Hazing Form
The information in the "Pilot" Pages 21-23 (beginning of page only)
1. Election to Office in Student Organizations
Yes
No
2. Candidate for Miss 海角社区 Contest
Yes
No
3. Sports Organizations
Yes
No
4. Who鈥檚 Who
Yes
No
5. Honor Societies
Yes
No
6. Fraternity and Sorority Membership Intake
Yes
No
7. Academic Honor Roll
Yes
No
8. Committee on Student Affairs
Yes
No
9. University Committees
Yes
No
10. Financial Aid/Employment Applications
Yes
No
I HAVE READ THE ABOVE STATEMENT AND I AM WILLING TO WAIVE PRIVACY OF MY EDUCATIONAL RECORDS FOR THE PURPOSE(S) CHECKED “YES”.
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Student ID Number
Date
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