Advanced Professional Study

Name ______________________________________________________ Date of Birth _______________

Address__________________________________________City/State/Zip____________________________________

Social Security Number (Necessary for Enrollment Coding)_______________________ Phone ____________________

E-Mail address:_______________________________
Note - Your e-mail address will be used to send you information about upcoming UMKC CLE programs.
If you do not wish to receive such information please indicate by checking below:

_____ I do not wish to receive promotional e-mails about UMKC CLE programs.

I have taken UMKC post-degree law courses previously. ____ Yes _____ No

I have attended UMKC (UKC) previously. _____ Yes _____ No

Please check one:

_____ I wish to audit without academic credit the following courses (Audit = you must attend sessions, but you are not required to take the exam.)_________________________________________________________________________

_____ I wish to enroll for non-degree credit in the following courses (Non-degree = you are required to take the exam and attend all sessions.)______________________________________________________________________________

_____ I have been granted permission by the school's Graduate Studies Committee to proceed as a non-degree candidate who may later seek admission to the LL.M. program. A course selection form approved by my adviser and the associate dean is attached.

Please check if you are a lawyer. ____

If you are a non-lawyer, what is your occupation? _____________________________________________________

Ethnic Origin: (Optional - Requested for reporting information to the Department of Health and Human Services)

_____ African American _____Mexican American _____Pacific Islander

_____American Indian (specify tribe) ___________________

_____Alaskan Native _____Hispanic American _____Puerto Rican

_____ Asian _____Non-Resident Alien _____White

Please provide the following information for all courses in which you are enrolling:
Course title:

ref no.

course no.

credit hours.

Professor's name

day(s)

time(s)

room

My check for $ _________________ payable to the University of Missouri, is enclosed.

Mail to: Continuing Legal Education, UMKC School of Law, 5100 Rockhill Road, Kansas City, MO 64110-2499.