PLEASE COMPLETE BY WEDNESDAY, AUGUST 28. This information will help me to communicate with you effectively and schedule any meetings at times convenient to you. I also want to be aware of your career goals and your interests in taking this course and, where appropriate, to draw upon your own prior education and experience.

* 1. Name

* 2. How would you like me to refer to you in class?

* 3. What is your street address?

* 4. What is your preferred phone number if I need to contact you?

* 5. At what email address would you like to be contacted?

* 6. Are you a full time or part-time student?

* 7. Anticipated graduation date:

* 8. Name of your undergraduate institute and major(s):

* 9. Please describe any non-law graduate work:

* 10. Describe any full-time jobs since college:

* 11. Future career plans:

* 12. CLASS SCHEDULE: Please select from the grid below the time slots for all of your classes.

  9a-10:15a 9a-10:40a 9a-11:45a 10:30a-11:45a 1:15p-2:30p 1:15p-4p 2:45p-4p 2:45p-5:30p 4:10p-5:50p 6p-7:40p 6p-8:45p 6p-9:40p

* 13. Please list any other time commitments that occur on weekly basis indicating the day(s) and hours (e.g. Lexis/Westlaw hours, off campus job)

* 14. Why did you pick this particular section of Professional Responsibility?

* 15. What in particular do you hope to learn in this course?

* 16. During some classes I will select students to play the role of a lawyer or client in a simulation in front of the class. Please select one of the following responses:

* 17. Other comments or requests such as sight, hearing or other limitations that you want me to know about?

* 18. Learning Contract. You must agree to each of the following in order to participate in this class: