APPLICATION FOR LAW APPRENTICE PROGRAM

DEPARTMENT OF POLITICAL SCIENCE

CALIFORNIA STATE UNIVERSITY, LONG BEACH

APPLICATION DEADLINE:  Return by November 6, 2009

PLEASE PRINT OR TYPE.  You may answer questions 12 through 16 on a separate sheet if you want.

1.           NAME_____________________________________ID #:__________________

                            (Last)                            (First)                 (M.I.)

2.           ADDRESS________________________________________________________

                                          Number             Street                   City                     State                    ZIP

3.           PHONE NUMBER(S): _________________________________________            

4.           EXPECTED GRADUATION DATE:  _________________

5.           EMAIL ADDRESS: ________________________________

6.           CUMULATIVE GPA:  ___________             GPA IN MAJOR: _______________

7.           MAJOR(S):  ________________________    MINOR(S):  _______________

8.           LAW CLASSES TAKEN:  ___________________________________________

              __________________________________________________________________

9.           SIGNIFICANT WORK EXPERIENCE (NEED NOT BE LAW-RELATED):

              __________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

1O.      EXTRACURRICULAR/COMMUNITY ACTIVITIES:

              __________________________________________________________________

__________________________________________________________________             

__________________________________________________________________

11.         Submit a typed paper that you have submitted to a professor at CSULB.  Include the professor’s name and course.  Do NOT submit your only copy of this paper.

12.       Type or legibly write a brief statement of purpose that states:  (1)  why you want 

            participate in POSC 418;  (2) what you hope to accomplish by participating;  and             

            (3) why you should be accepted into our program.

13.         Submit two letters of recommendation from academic sources (professors from whom you have taken classes).  If the letters are being sent directly to Dr. Wright, please use the lines below to indicate names, department, and institutional affiliation of those who will be recommending you for this program.

________________________________________________________________

              ________________________________________________________________

• The Superior Court checks the felony and misdemeanor records for our student interns.  If you have been convicted of a felony and/or a misdemeanor, please contact Dr. Lewis Ringel in the Political Science Department directly.

15.      Have you ever been placed on conduct or academic probation by this or another

            university or college?  YES______    NO  _______

If you marked YES please contact Dr. Lewis Ringel in the Political Science Department directly.

16.         If your answer to numbers 14 and/or 15 were YES, will you sign a waiver     

            authorizing the Department of Political Science at California State University, 

            Long Beach to verify your statement?  YES______    NO  _______

17.         Please submit a copy of an unofficial university transcript with your application