USC School of Law 2011-12 2L and 3L Enrollment and Directory Information

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1. I am a

I am a   2L

3L

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2. Please provide us with your school-year contact information.

Please provide us with your school-year contact information.   First Name:
Middle Name:
Last Name:
Preferred Name:
Local Street Address:
Local City:
Local State:
Local Zip:

3. Please provide us with your permanent residence information if it is different from your local contact information.

Please provide us with your permanent residence information if it is different from your local contact information.   Permanent Street Address:
Permanent City:
Permanent State:
Permanent Zip:

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4. In case of emergency, please contact:

In case of emergency, please contact:   Name:
Relationship to Student:
Emergency Contact Address:
Emergency Contact Phone Number:

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5. Please provide an alternate e-mail address for use in case of a communications emergency when the University server may not be available. It will only be used in the event of a emergency. YOU ARE RESPONSIBLE FOR MONITORING YOUR SC.EDU E-MAIL ACCOUNT FOR UNIVERSITY NOTICES!

Please provide an alternate e-mail address for use in case of a communications emergency when the University server may not be available. It will only be used in the event of a emergency. YOU ARE RESPONSIBLE FOR MONITORING YOUR SC.EDU E-MAIL ACCOUNT FOR UNIVERSITY NOTICES!   Alternate E-Mail Address: