APPLICATION FOR LEGAL AID CLINIC

Name: 

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;

Local Address:

Local Phone:                                Cell Phone:                        Email address: 

List languages you speak fluently, besides English: 

List public interest, community service or social justice work, not stated on your resume:

Please state if you have taken any of the following courses:
(check off as many as may apply).
_____ Evidence
_____ Poverty Law
_____ Federal Courts
_____ Administrative Law
_____ Family Law
_____ Landlord-Tenant Law or any Housing Law course.

Please select the unit you are applying to (you may apply to more than one practice area):
____   Veterans Unit
____   Immigration Unit
____   Other Practice Area of CLA

Every student working at CLA must undergo a criminal record check.  Have you ever been arrested in any jurisdiction for any offense?  Have you ever been convicted, whether by plea or trial, in any jurisdiction for any offense?  If the answer is yes to either question, please provide pertinent details.  Details should be provided in writing either on this form or if you prefer, you may bring the written explanation to your interview. 

Please describe briefly, why you want to take the Legal Aid Clinic.  
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.