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***

* 1. Student Name: (Last, First)

* 2. Year in school (for Spring 2011)

* 3. Preferred e-mail address:

* 4. Telephone

* 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.

* 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.

* 12. Provide the following information regarding the institution, organization or Court for your proposed externship fieldwork.

* 13. Placement Status is:

* 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!

T