Please complete the form below to create your own, unique UMKC Law School Scholarship account.

Your username will be your email address. We will automatically assign you a password.

Fields with a red asterisk (*) are required.
Biographic Information
* First Name  
Middle Name  
* Last Name  
Address Line 1  
Address Line 2  
Zip/Postal Code  
Home Phone  
Cell Phone  
* Email Address