LSAC DiscoverLaw.org PLUS Program 2015 Student Application CERTIFICATION & RELEASE OF INFORMATION FORM Certification of Information By signing this application, I certify that all the information provided in this application and online materials is complete and accurate to the best of my knowledge. I understand that omission or misrepresentations of any facts in this application made by me will automatically disqualify me from consideration for participation in the program or be considered adequate grounds for cancellation of acceptance. Printed Name: ________________________________________________________________ Signature: _________________________________________ Date: _____________________ Release of Information I authorize the UT/HT LSAC DiscoverLaw.org PLUS Program to provide information to or to receive information from other educational institutions (including between the University of Texas and Huston-Tillotson University) and organizations (to include the Law School Admission Council) regarding reported standardized test scores, grades, acceptance and attendance dates, and academic progress made. Printed Name: ________________________________________________________________ Signature: _________________________________________ Date: _____________________ The DiscoverLaw.org PLUS Program is a grant program sponsored by the Law School Admission Council and administered through the DDCE, Huston Tillotson, and UT Law School. Adapted from SU DiscoverLaw PLUS Program Application
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