Ssn Exemption Request Form - University Of Nebraska, Kearney Page 4

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5. Estimate the number of SSNs in this application. Describe the cohort. E.G. "3267
SSNs of 2007 graduating high school students in Nebraska who have expressed
interest in admission to a program in our department."
6. Explain why NUID or some other identifier can not be used for this application.
7. Department Head Name
8. Department Head Signature
________________________________
9. Date Signed

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