Non-Academic Conduct Form Home » Programs for Learning Academic and Community English (PLACE) » Non-Academic Conduct Form PLACE Non-Academic Conduct Form Please fill out the form below. Name*Are there any pending criminal charges against you?* Yes No Do you have any prior convictions* OR prior disciplinary history at an academic institution (including pending disciplinary proceedings) for stalking, sexual assault, and/or domestic violence?* Yes No Have you had any convictions* within the past five years for assault, kidnapping, voluntary manslaughter or murder?* Yes No PhoneThis field is for validation purposes and should be left unchanged.
