LCDO INTAKE FORM

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LCDO INTAKE FORM

LCDO FORM

What is your name (First Name, Last Name)? *

What is your age? (enter number only, e.g., 20)

What is your Racial Background?

Black/African American

Latino/Hispanic/Caribbean

Native American or Alaskan Native

Native Hawaiian or Other Pacific Islander

White

Asian

Middle Eastern/North African

Other:

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What is your current address? (Please input as Street Address, City, State/Province, and Zip/Postal Code. (i.e. 913 Southerly Road, Towson, MD, 21204))

Mode of Transportation?

Drive

Bus

Walk

Uber/Lyft/etc

Train (MARC or Light Rail)

Other:

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Length of Commute to the Law School?(In Minutes, e.g., 10 minutes)

Current Year and Program in School?

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What is your GPA?(Round to nearest whole number. Enter as "2.9" not 2.88)

How many times has the LCDO reached out to you in the last year?

More than 5

Clear selection

How many times have you visited the LCDO (in-person or over zoom)?

More than 5

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