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Consensual Relationship Disclosure

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Person completing the form:

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Role:*
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Other party in the consensual relationship:

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Role:*
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Do you or the other person described in this disclosure expect to have any of the following responsibilities, now or in the future, for one another as a component of employment responsibilities with Angelo State University? Teach, instruct, manage, supervise, advise, counsel, oversee, direct, grade, coach, train, treat or evaluate:*
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