Clerkship Applicant Intake Form (2020-2021)

Question Title

* 1. Name:

First

Last (while at CLS)

Question Title

* 2. If your name has changed, please indicate here:

Question Title

* 3. Graduation Year:

Question Title

* 4. UNI:

Question Title

* 5. Preferred email address:

Question Title

* 6. Faculty Recommenders (Name, Title, and School/Professional Affiliation):

* OJC will not contact your recommenders, this information is for administrative tracking purposes

Recommender 1

Recommender 2

Recommender 3

Recommender 4

Recommender 5

Question Title

* 7. Faculty Assistant Emails (if adjunct faculty, please use Dawn Moore - dmoore@law.columbia.edu):

* OJC will not contact your recommenders, this information is for administrative tracking purposes

Faculty Assistant 1

Faculty Assistant 2

Faculty Assistant 3

Faculty Assistant 4

Faculty Assistant 5

Question Title

* 8. Outside Recommenders, if using (Name, Title, and School/Professional Affiliation):

* OJC will not contact your recommenders, this information is for administrative tracking purposes

Recommender 1

Recommender 2

Recommender 3

Question Title

* 9. Will you be using OJC services to mail your applications?

Yes

Question Title

* 10. Who is your OJC counseling advisor (Schedule with Dean Saavedra, Marka Belinfanti, or Anne Green in Symplicity).

Dean Andrea Saavedra

Director Marka Belinfanti

Clerkship Consultant Anne Green

None yet assigned

Other (please specify)

Clerkship Applicant Intake Form (2020-2021)

Question Title

* 1. Name:

Question Title

* 2. If your name has changed, please indicate here:

Question Title

* 3. Graduation Year:

Question Title

* 4. UNI:

Question Title

* 5. Preferred email address:

Question Title

* 6. Faculty Recommenders (Name, Title, and School/Professional Affiliation):* OJC will not contact your recommenders, this information is for administrative tracking purposes

Question Title

* 7. Faculty Assistant Emails (if adjunct faculty, please use Dawn Moore - dmoore@law.columbia.edu):* OJC will not contact your recommenders, this information is for administrative tracking purposes

Question Title

* 8. Outside Recommenders, if using (Name, Title, and School/Professional Affiliation):* OJC will not contact your recommenders, this information is for administrative tracking purposes

Question Title

* 9. Will you be using OJC services to mail your applications?

Question Title

* 10. Who is your OJC counseling advisor (Schedule with Dean Saavedra, Marka Belinfanti, or Anne Green in Symplicity).

* 6. Faculty Recommenders (Name, Title, and School/Professional Affiliation):

* OJC will not contact your recommenders, this information is for administrative tracking purposes

* 7. Faculty Assistant Emails (if adjunct faculty, please use Dawn Moore - dmoore@law.columbia.edu):

* OJC will not contact your recommenders, this information is for administrative tracking purposes

* 8. Outside Recommenders, if using (Name, Title, and School/Professional Affiliation):

* OJC will not contact your recommenders, this information is for administrative tracking purposes