Fall 2011 Chicago-Kent Graduate Survey

1. Name & Degree Information

Question Title

* Your Name

Title (Mr., Mrs., Miss, Ms., Dr.)

First

Nickname

Middle Initial

Last

Question Title

* Student ID Number (Banner #):

Question Title

* Please write the correct pronunciation of your name:

Question Title

* Degree

JD

LLM

Question Title

* Division

Day

Evening

Question Title

* If JD, please specify if you are receiving a Certificate or have a concentration:

Question Title

* If LLM, please specify which program:

Question Title

* Kentlaw.edu email ID (the part of your email address before the @ sign):

Question Title

* Email after Graduation (Not your kentlaw.edu email):

Note: IN ORDER TO RECEIVE YOUR PAPER DIPLOMA, YOU MUST ENTER AN ACCURATE MAILING ADDRESS THAT WILL BE VALID AFTER GRADUATION.

Question Title

* Address after Graduation:

Address: *

Address 2:

City/Town: *

State/Province: *

ZIP/Postal Code: *

Country: