ELDER LAW CLINIC APPLICATION

Name:
Mailing Address:
Email address:
Telephone number:

1. Your current class level (check one):
    ____ First year full time student;
    ____ Second year full-time student;
    ____ Second year part-time student;
    ____ Third year part-time student;

2. Please describe any language skills you have, other than English, your level of proficiency, and whether your skill includes both spoken and written language.

3. Please list any classes you have taken that would be relevant to the clinic, including but not limited to estate planning, health law, end of life planning, administrative law, real estate law, disability law, and independent studies.

4. Please describe any school, life, or employment experience that you believe is relevant to the clinic, including but not limited to financial planning, caring for elderly or disabled persons, social work, serving as a guardian or conservator or other fiduciary, or any public interest, community service, or social justice work. 

5. I attended/will attend a Clinic/Externship Advising Session with Professor_________________
on _____________________.

6. Please describe briefly, why you are interested in participating in the Elder Law Clinic.  

7. In addition to a weekly reflective seminar class component, you will be expected to devote 12 hours toward your clinic work each week. Do you feel that you will have sufficient time to devote to the clinic? Please explain your response. 

The Western New England University School of Law prohibits discrimination in the selection of students for clinical programs on the basis of race, national origin, color, creed, religion, sex, age, disability, veteran status, sexual orientation, gender identity, or associational preference.