* = Indicates required field
*Student ID Number:
*I plan to graduate in: Spring 2019Fall 2019Spring 2020Fall 2020Spring 2021Fall 2021Spring 2022Fall 2022
*How did you hear about the program?
*Which area of workplace law interests you the most? (e.g. employment law, employment discrimination law, labor law, etc.)
Have you already completed the online Workplace Law Certificate Application? Yes No
Are you interested in learning more about the associated student organization "Employment Law Association" (ELA)? Yes No
*Are you interested in attending events, activities and/or programs sponsored by the Workplace Law program? Yes No