Certification and Release of Information Form

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