If you responded "Yes" to Question 2, please answer Questions 3-6; otherwise, please skip to Question 7.
By checking the "I agree" box below, you agree and acknowledge that 1) your application
will not be signed in the sense of a traditional paper document, 2) by signing in
this alternate manner, you authorize your electronic signature to be valid and binding
upon you to the same force and effect as a handwritten signature, and 3) you may still
be required to provide a traditional signature at a later date.
I authorize that all information provided on this form, including any and all personal,
financial, and academic data may be shared with the LSU Police Department, necessary
LSU personnel, and/or law enforcement entities to facilitate thorough investigation
and response. This data will be securely retained if required by law or policy, for
the scheduled amount of time designated by the LSUPD Records Retention Schedule approved
by the Louisiana Secretary of State, Division of Archives. To learn more about privacy
at LSU, please see the LSU Privacy Statement at lsu.edu/privacy.
Provide your email address if you would like to receive a copy of your completed survey.