Villanova University School of Law - Current Students

Registrar

Clinic/Externship Request Form

Use this form during the early registration and course request periods only. Be sure to complete all requested information. When choosing Clinics/Externships from the drop-down boxes below, be sure to do so in your order of preference.

Name:

Class Year:

SSN:

Address Line 1:

Address Line 2:

City:

State/Province:

Zip/Postal Code:

Country:

Work Phone:

Home Phone:

Fax:

Email:

Choose your clinic or externship in order of preference. The first being your 1st choice and the last being your last choice:











Additional Comments:


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