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

First Name:

Last Name:

Student ID #

Telephone:

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:  

Birthplace:

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.

Comments:

Questions? Contact Colleen Erker, Assistant Dean for Academic Services & Registrar at erker@wustl.edu.

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 registrar@wulaw.wustl.edu.