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* 1. First name:

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* 2. Last name:

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* 3. Gender:

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* 4. Age:

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* 5. Cell phone number:

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* 6. Gmail account email address:

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* 7. Emergency contact information:

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* 8. Do you have health insurance?

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* 9. If yes, please enter the following:

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

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* 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.

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

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

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* 14. I prefer to live with a:

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* 15. Are you planning on bringing a laptop?

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

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* 17. Do you require vegetarian meals?

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* 18. My law school admissions status is:

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

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

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

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

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

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

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