WILLIAM AND MARY LAW SCHOOL
Non-Degree Seeking, Visiting Student Law School Course Registration
Upon completing the form, please return it to the address below.
NAME ________________________________________
TERM THE COURSE WILL BE TAKEN: FALL
Social Security Number ___________________________________
SPRING SUMMER
YEAR: 20__
COURSE #1
TITLE: _________________________ COURSE NUMBER: ______ CREDIT HOURS: ____
COURSE MEETING TIME: DAYS _________ TIMES ________
INSTRUCTOR: ________________________________
COURSE #2
TITLE: _________________________ COURSE NUMBER: ______ CREDIT HOURS: ____
COURSE MEETING TIME: DAYS _________ TIMES ________
INSTRUCTOR: ________________________________
Home Law School: ______________________________________________________________
Present address:
Permanent address (if different from above):
Telephone number: (Residence)
(
)
(Cell) (
)
Preferred Email:
_____________________________________________________
Date of Birth:
_____/_____/____ (mm/dd/yy)
Country of Citizenship:
_
___
_________
Racial/Ethnic Category* (Check one): ( ) Asian or Pacific Islander
( ) Hispanic
( ) White, not of Hispanic Origin
( ) African American/Black
( ) American Indian or Alaskan Native
*This information is needed by the school for statistical purposes. It will not be used in any unlawfully discriminatory manner. You are
assured both by school policy and by the Family Educational Rights and Privacy Act that the information will be confidential and
accessible only to school officials, government agencies and others with a legitimate educational interest in the information.
RETURN FORM(S) TO:
LAW SCHOOL REGISTRAR, COLLEGE OF WILLIAM AND MARY, PO BOX 8795, WILLIAMSBURG, VA 23187-8795
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