FAMILY LAW MEDIATION 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. I attended/will attend a Clinic/Externship Advising Session with Professor_________________
on _____________________.
  
3. Please describe any language skills you have, other than English, your level of proficiency, and whether your skill includes both spoken and written language.

4. Please list any classes you have taken that would be relevant to the clinic, including but not limited to family law, mediation, alternative dispute resolution, social work, child psychology, parenting and independent studies.

5. Please describe any school, life, or employment experience that you believe is relevant to the clinic. 

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

7. In addition to the work required for a weekly reflective seminar class component, you will be expected to devote 8 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.