First Name:

Middle Name:

Last Name:

Student ID:

DU Email Address:

Native Language:

Country of Citizenship:

How long have you lived in an English-Speaking Country?

Have you attended any other schools in the United States?

If yes, please list:

Name of School Length of Time Degree Earned

TOEFL Score Results:

Date of TOEFL Exam:

IELTS Score Results:

Date of IELTS Exam:

Start Date at Sturm College of Law:

Degree Program at Sturm College of Law:

Please describe why you need additional time on your midterm and final exams: