I hereby affirm that the information provided by me in this application is true and correct, and that there are no omissions or misstatements in my application. I consent to Golden State University (the "University") taking one or more of the following actions upon discovery, at any time, of any such omission or misstatement of mine in this application: (1) Voiding of my admission & registration to the University; (2) Voiding of credit(s) for course work completed at the University; and (3) Distribution of information relating to such omissions and/or misstatements to other academic institutions, governmental agencies, and other third parties.

I understand that, if admitted to GSU, I must abide by the rules and regulations of the University. I acknowledge that compliance with the CA Code of Regulations Title 16, Article 3.5 §1399.436 is my own and sole responsibility.

It is my responsibility that if I desire to practice in jurisdictions other than California to consult the rules and regulations governing admission to practice in those jurisdictions.

I have received and read a copy of the GSU Catalog, bulletin listing, schedules of fees, and course description.