Pre-Registration Form for Negotiation for
Non-Law Students [for Fall 2012]

First Name:

Last Name:

Student ID #


E-mail: (please make sure e-mail is correct)

University Department -
Arts & Science Business Design/Visual Arts
Engineering/Applied Science Social Work
Medicine Other [If other, please describe]

Current Degree Program -

Expected Graduation Date -
Semester: Fall Spring/Summer
Year: 2012 2013 2014 2015 2016

Indicate your student category by checking one of the options below -
I am an upper-level undergraduate (junior and senior)
I am a graduate level student
Other - If Other, please specify

Background Information -
The following information is not relevant in the placement process, but the Professor requests this information for all students who take the course.

Hometown City:

Hometown State:   

Hometown Country:  


Undergraduate Institution:

Undergraduate Major:

Students who submit this form by the deadline will be notified by email of whether they get in or are wait listed by Fri, Sept. 7, 2012.


Questions? Contact Colleen Erker, Assistant Dean for Academic Services & Registrar at

You may wish to print this form before clicking "Submit" for your own records. After submitting, you will receive an e-mail confirming receipt of this submission. If you do not receive an e-mail, please contact the Law School Registrar's Office at