1. Fall 2011 Externship Program Course Application

Please be sure to read the Fall 2011 Applicants page before submitting your application.

Note: You must secure your placement before submitting the application

. ***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. Current year in school: (Ex: 2L, 2LE)

* 3. Preferred e-mail address:

* 4. Telephone

* 5. Are you currently taking an externship for credit?

* 6. If yes, identify your fieldwork placement.

* 7. If yes to #5, identify your seminar and professor.

* 8. Have you previously received academic credit for an externship?
***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. 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':

PLEASE DO NOT FORGET TO E-MAIL YOUR RESUME AND TRANSCRIPT IN PDF FORMAT TO EXTERNSHIPS@LAW.FORDHAM.EDU. YOUR APPLICATION WILL NOT BE PROCESSED UNTIL WE HAVE RECEIVED ALL MATERIALS.

THANK YOU!

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