Legal Questionnaire

Legal Questionnaire

Please read the policy statement below and answer the following questions.  All questions must be answered or your application will be considered incomplete and cannot be processed.

It is the policy of the University of Louisville, School of Nursing that no person who is ultimately ineligible for licensure as a registered nurse in the Commonwealth of Kentucky can be considered for admission to the school.  Furthermore, significant academic misconduct or evidence of poor character or moral turpitude constitutes grounds for rejecting an applicant; therefore, all applicants must respond to the questions that follow.

If you answer “yes” to any of the questions, you are required to provide a complete explanation in narrative form to be submitted with the application.  Failure to answer any questions in this section of the application will preclude further consideration for admissions.  If this action becomes necessary, you will be notified in writing.  Discovery of any falsified answer to any questions on this or any other section of the application after matriculation will result in dismissal.  The scope of the questions includes any charges or proceedings pending at the time of the application.

Program  
Have you ever been arrested, for, charged with, or convicted of any crime other than a minor traffic violation?
2. Have you ever been dismissed, suspended, or otherwise disciplined by a college, university, or a graduate profession school for any reason?
3. Have you ever been other than honorably discharged from any armed service of the U.S.?
4. Have you ever been discharged from employment, disciplined, or asked to resign from employment or any service program?
5. Have you ever been charged with or found guilty of sexual harassment or racial, ethnic, or gender bias in any proceeding?