Externship Program Course Application- SPRING 2012

1. Spring 2012 Externship Program Course Application

 
Please be sure to read the Spring 2012 Application Information before submitting your application.

Note: You must secure your placement before submitting the application. If you the deadline is approaching and you have not yet secured a placement, complete the application and indicate the placements to which you have applied

. ***Remember that with the exception of the Mediation Clinic, you cannot participate in an externship and clinic in the same semester***
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1. Student Name: (Last, First)
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2. Year in school (for Spring 2011)
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3. Preferred e-mail address:
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4. Telephone
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5. Are you participating the Fall 2011 Externship Program?
6. If yes, identify your fieldwork placement.
7. If yes to #5, identify your seminar and professor.
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8. Have you participated in the Externship Program prior to Fall 2011?
***If you've completed two previous externships, you will need permission if applying for a third.
9. If yes, which semester(s)?
10. If yes to #8, identify your previous fieldwork placement(s).
11. If yes to #8, identify your seminar and professor.
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12. Provide the following information regarding the institution, organization or Court for your proposed externship fieldwork.
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13. Placement Status is:
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14. Indicate the externship seminar which you believe is appropriate and your preferred weekday (check only one; if you will be working for a judge, indicate 'Judicial':
15. To receive credit through the Externship Program, you must attend a mandatory Orientation Session. Please select the session you will attend:
PLEASE DO NOT FORGET TO E-MAIL YOUR RESUME AND TRANSCRIPT IN PDF FORMAT TO HMCNANNA@LAW.FORDHAM.EDU. YOUR APPLICATION WILL NOT BE PROCESSED UNTIL WE HAVE RECEIVED ALL MATERIALS.

THANK YOU!

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