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Get Vincennes University Application Form

PLEASE TYPE OR PRINT CLEARLY Last name: First name: Middle initial: Mailing address: Phone: Email: Date of birth: Felony charge: Date filed: State in which the charge was filed: County: Official outcome (check one): Guilty Innocent Dismissed Pending Plea agreement (explain): Other (explain): Result (check all that apply): Probation: Incarceration: Work release: Community service: Other (explain): Start date Start date Start date.

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