Final Affirmation

Please fill out the final affirmation form below, then click submit once you are finished.

Name * Required
First Last
Please select your citizenship status: * Required
If you selected other regarding citizenship status, please describe:
Do you believe you qualify for in-state tuition? If yes, you must complete the Virginia In-State Tuition Form. * Required
If yes, you must complete the Virginia In-State Tuition Form.
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone * Required
Email * Required
Have you ever been found responsible for a disciplinary violation at any educational institution you attended from the 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in a disciplinary action? * Required
- Yes
- No
If yes, please explain
Have you ever been adjudicated guilty or convicted of a misdemeanor of felony? * Required
- Yes
- No
If yes, please explain:
I certify that all information submitted in the admission process including the application and any other submitted materials is my own work, factually true, and honestly presented, and that these documents will become property of the institution to which I am applying and will not be returned to me. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation, expulsion, or revocation of course credit, grades, and degree should the information be misrepresented or false. I agree to notify the University of Mary Washington should there be any change to the information submitted, including disciplinary history. I understand that all offers of admission are conditional, pending receipt of final transcripts showing work comparable in quality to that upon which the offer was based. As well as honorable dismissal from the school. * Required
Date
MM slash DD slash YYYY
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Have questions about the Final Affirmation form? Please contact the Office of Admissions, or you can fill out the Request for More Information form.