Information Form

InstructionsTo apply for the Certificate for Justice in the Practice of Law (JIPL) Program, please provide the following information by April 30th.

Name *(First, Middle and Last)

Address *

Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Phone *

Email *

Law School Name *

Student ID Number *

Current Year in Law School *

Current Standing in Law School *

Good standing Not in good standing

If you are not in good standing, please provide an explanation below:

Reason for Seeking the JIPL Certificate *

Certification *

I have read the requirements for the Certificate for Justice in the Practice of Law and I intend to meet all of the requirements.

Please enter any two digits with no spaces (Example: 12)*

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