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Please
enter the following information:
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First Name:
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Last Name:
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Address:
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City:
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State:
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Zip:
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Home
Phone:
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Work
Phone:
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Cell
Phone:
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Email:
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Social
Security Number:
(used only for IRS wage reporting)
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Undergraduate
degree(s).
Please enter degree, major field, year granted, and full name of institution:
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Undergraduate
Grade Point Average:
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Law
school and graduation date.
Please include name of law school and year of graduation. If law student,
please indicate year of anticipated graduation:
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Law
school Grade Point Average:
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Honors
and professional designation.
Please include societies and professional designation (Phi Betta Kappa,
C.P.A., etc.):
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Current
employment:
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Previous
teaching experience:
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LSAT
score(s):
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How
did you prepare for the LSAT?:
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Nearest
seminar location:
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LSAT Intensive Review reimburses travel expenses plus meals and lodging
for instructors who travel on an as needed basis. Would
you be willing to travel on an as needed basis?
Yes
No
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I
certify that all the information provided above is correct to the best
of my knowledge.
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