LSBA Pre-Law Conference Registration Form
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First Name *
Middle Name
Last Name *
Street Address *
City *
State *
Zip Code *
Phone Number with Area Code *
Email Address *
Gender *
Date of Birth *
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Current School *
Current School Location *
Anticipated graduation *
How did you hear about the LSBA Diversity Committee's Pre-Law Conference? *
Select all that apply.
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Describe your ethnic origin.
This information will not be used in a discriminatory manner. Select all that apply.
Emergency Contact Name *
Emergency Contact Home Phone Number with Area Code *
Emergency Contact Cell Phone Number with Area Code *
Have you taken the LSAT yet? *
The program includes an information session on February 1st and timed LSAT on February 15th.  If you attend both sessions, you will be eligible for a drawing for a $1,600 scholarship to attend a Kaplan LSAT course.  For which sessions are you registering? *
February 1, 2014 8:30 a.m.- 4:00 p.m. Career Prep (A light lunch will be provided for those who pre-register by January 24th.)  February 15, 2014 8:30 a.m. - 2 p.m. Free LSAT Practice Test sponsored by Kaplan (A light lunch will be provided for those who pre-register by February 8th.)
Certification: I certify that the information contained in this form is true and complete to the best of my knowledge. *
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