* 1. First name:

* 2. Last name:

* 3. Gender:

* 4. Age:

* 5. Cell phone number:

* 6. Gmail account email address:

* 7. Emergency contact information:

* 8. Do you have health insurance?

* 9. If yes, please enter the following:

* 10. Will you have a vehicle with you while at The University of Mississippi School of Law CLEO program?

* 11. If you are flying into Memphis, when does your flight arrive and depart at the end of the program? PLEASE NOTE: IF THERE ARE ANY CHANGES IN THIS INFORMATION, PLEASE CONTACT THE DIRECTOR IMMEDIATELY.

* 12. The next few questions will be used to pair you with a roommate.
Personal living style:

* 13. I prefer to live with a:
PLEASE NOTE THAT THE UNIVERSITY OF MISSISSIPPI IS A SMOKE FREE CAMPUS.

* 14. I prefer to live with a:

* 15. Are you planning on bringing a laptop?

* 16. Do you have any food allergies? If yes, please explain.

* 17. Do you require vegetarian meals?

* 18. My law school admissions status is:

* 19. Do you wish to continue exploring law school options for 2012?

* 20. I have been accepted to the following law schools:

* 21. I have been wait-listed at the following law schools:

* 22. I have been admitted conditionally to the following law schools:

* 23. If you have been admitted conditionally, what are the conditions of admittance?

* 24. I am waiting to hear back from the following law schools:

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