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  
 
City  
 
State  
 
Zip/Postal Code  
 
 
Home Phone  
 
Cell Phone  
 
* Email Address