Confidential Disciplinary Disclosure

Confidential Disciplinary Disclosure
The Student has not incurred any disciplinary infractions at the High School that he/she attends. This may include, but not limited to suspension, dismissal and any other penalties or infractions of school policy.
Please sign below:
Student Signature:

Clear
Date:
Parent signature:

Clear
Date:
I have received one or more disciplinary infractions. Please explain below:
Please sign below:
Student Signature:

Clear
Date:
Parent signature:

Clear
Date:
If a full disclosure is not given at the outset Applestone Admissions Consulting reserves the right to suspend professional services
Should be Empty: