Audit Application

The University of Akron School of Law Application for Audit Enrollment Section 1: Applicant Information I plan to audit law courses during the [ ] Fall [ ] Spring [ ] Summer term of the year __________. Prefix: _____ First Name: ____________________ Middle Initial: ________ Last Name: __________________________ Previous Name(s): ___________________________________________________________________________________ Social Security Number: _____________________________ Date of Birth: _____________________________________ Gender: [ ] Female [ ] Male Race/Ethnicity (Optional; [ ] American Indian/Alaska Native [ ] Asian [ ] Black/African American check all that apply) [ ] Native Hawaiian/Other Pacific Islander [ ] White/Caucasian Section 2: Contact Information E-mail Address: _______________________________ Alternate E-mail Address: _________________________________ Mobile Phone: ___________________ Current Phone: ____________________ Permanent Phone: __________________ Permanent Address: _______________________________________________ County (Ohio only): ________________ City: _____________________ State: __________ ZIP/Postal Code: ________________ Country: Current Address: __________________________________________________ County (Ohio only): State: __________ ZIP/Postal Code: Country: __________________ Emergency Contact Person (Last Name, First Name) ____________________________ Relationship: _______________ Emergency Contact ...