Former Student Conduct Records Request

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Dates of Attendance at Quinnipiac University (YYYY-MM-DD) to (YYYY-MM-DD).(Required) This field is required.

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Please list the name of EACH of the institutions to which we should send a report, as well as the contact information (mailing address, e-mail address, fax number, etc.) we should use to send it. If you want these records sent to you, please indicate how you would like these records sent. Example: Example University. Mailing Address: Example University Registrar; 1234 Example Drive; Example, CT 00000(Required) This field is required.

Is your current name the same name you had while attending Quinnipiac?(Required)

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If no, what was your name while attending Quinnipiac? This field is required.

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