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D to provide applicants with certain information about campus security policies and crime statistics for each location. Applicants may view this information at http://www.police.psu.edu/clery/ PLEASE PRINT IN INK OR TYPE (If you need additional space or wish to make remarks, please continue on a separate sheet of paper.) Last Name First Name Address No. and Street Telephone Numbers Initial City, State Zip Code Home Area Code Work Area Code Today's Date Email Address / / Type of Wor.

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