I expect to graduate in - Year - 2003 2004 2005 2006 2007 2008
2009 2010
2011 2012 and am applying for the Certificate in Labor and Employment Law.

Name:   
(Print your name as you want it to appear on the certificate)

E-mail Address:

Address, City, State & Zip:

   

Home Phone:      Work Phone:   

Post-graduation address:   

I will have successfully completed the following courses by graduation (check all that apply):

Labor Law
Employment Relationships
Employment Discrimination
Legal Writing IV - Labor/Employment Law
Employment Law Clinic
Labor/Employment Law Externship
Labor/Employment Externship Class
Employment Litigation
Workers Compensation
Employee Benefits Law
Disability Law
Seminar (Please specify)
Other (please specify)

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