Clinical Program Application Applicant Information Do you speak a language other than English? ---YesNo May we publicize your clinical/externship placement for the semester?YesNo Have you applied to any STU Law Certificate Programs? Admiralty and Maritime LawBusiness LawCriminal LitigationElder LawEnvironmental SustainabilityImmigration PracticeIntellectual Property LawIntercultural Human RightsReal Estate LawTax LawNo - none Clinic Selection Information Which Clinic Placement(s) do you wish to apply for? Appellate Litigation (LAW845)*Bankruptcy Clinic (LAW934)Civil Practice Externship - 4 credit (LAW857)Civil Practice Externship - 8 credit (LAW857)Criminal Practice Externship (LAW864)Elder Law Externship (LAW874)Florida Supreme Court Internship (LAW870)*Immigration Clinic (LAW835)Judicial Internship (LAW864)United Nations Internship (LAW857)Tax Clinic (LAW911) *Placement requires Florida Bar Clearance Select Semester: ---FallSpringSummer Select Semester: (Tax Clinic) ---FallSpring Select Semester: (Bankruptcy Clinic/Elder Law Externship) ---Spring Only Select Semester: (Appellate Litigation and Immigration Clinic) ---Full-Year Only (Fall & Spring Semesters) Civil Practice Externship Location Miami-DadeBrowardPalm Beach Criminal Practice Externhip Miami-DadeBrowardPalm Beach Criminal Practice Externship Placement State Attorney Office*Public Defender*Federal *Placement requires Florida Bar Clearance Elder Law Externship Location Miami-DadeBroward Judicial Internship Location Miami-DadeBrowardPalm Beach You have selected multiple placements. Please rank your first and second choice preference for Clinical placement including location, if relevant. Eligibility and Background Will you have completed the pre-requisites for the clinic for which you are applying prior to the start of the clinic? ---YesNo Are you currently in a clinic placement? ---YesNo Do you have experience being responsible for clients and/or client matters in a professional environment? ---YesNo Academic and Disciplinary Matters Are you currently or have you ever been on academic probation at St. Thomas University School of Law? ---YesNo Have you ever been accused of a violation of an honor code or student conduct code, warned, placed on academic, schoolastic, or disciplinary probation, suspended, requested or advised to discontinue your studies, dropped, expelled, or requested to resign or otherwise subject to discipline by any college, law school, or other post-secondary institution? ---YesNo Regardless of whether the record has been expunged, canceled, or annulled, or whether no record was made, have you ever been accused of cheating, plagiarism, or other academic dishonesty at any school you attend or have attended? ---YesNo > Character and Fitness In your entire life, have you ever been arrested, detained, or restrained, taken into custody or accused of driving while intoxicated, driving under the influence of alcohol or drugs, driving with an unlawful blood alcohol level or charged with vehicular manslaughter or vehicular homicide? ---YesNo Have you ever been convicted of a felony? ---YesNo Are there any criminal charges pending against you? ---YesNo Are you currently serving or subject to any kind of probation, deferred prosecution program, or reporting for community service obligations associated with any criminal matter? ---YesNo Other than those previously listed, since the date of your 16th birthday, have you ever been arrested, detained, or restrained, given notice to appear, or taken into custody for the violation of a law or ordinance or for committing a delinquent act? ---YesNo Have you ever been or are you presently a plaintiff, a defendant, a petitioner, or a responded in a civil lawsuit? This includes, but is not limited to, marriage dissolution and tax and bankruptcy proceedings. ---YesNo Attach a document answering the following: (1) List each such action; (2) Provide an explanation including the name of the case, type of case, your role in the case, and the facts relating to your involvement in the case; (3) Provide a copy of the docket sheet, complaint, or other initial pleading, and (4) The final judgement, order of dismissal, or other document disposing of or concluding such action. If the action was dismissed after settlement, include an explanation of the details of the settlement. Do you now hold, or have you ever held, any professional, occupational, or business license? ---YesNo Are you now or have you ever been subject to discipline by any professional licensing board or body? ---YesNo Required Documents Please attach the following documents: Current Resume (approved by the Office for Career Development). Unofficial Transcript Legal Writing Sample (8-10 numbered pages; each page bearing your name) Cover Letter elaborating on why you should be chosen for this clinic. Florida Bar Notice of Clearance (if applying for a clinic that requires certification) Other Please list any other reason why you should be accepted for participation in a clinic. Signature and Submission I have read and understand the Clinical Handbook and Manual of Rules. By checking this box, I certify that the information I have provided is true and accurate to the best of my knowledge.