School of Law Work Statement

Please fill in a valid value for all required fields

Please ensure all values are in a proper format.

Are you sure you want to leave this form and resume later?

Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.

You must upload one of the following file types for the selected field:

There was an error displaying the form. Please copy and paste the embed code again.

There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.

School of Law Work Statement Form

You must complete a Work Statement each semester.

Student Name*

First Name

Last Name

Year of Work Statement*

Which year is this filing for?

Semester of Work Statement*

Spring Fall

Which semester is this filing for?

Student ID (B Number)*

Email*

Confirmation of your Work Statement will be emailed to this address

Current Classification*

1YR 2YR 3YR 4YR

Local Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone Number*

Indicate your Home Country*

Home State*

In which state do you anticipate taking the Bar Exam*

In which month do you anticipate taking the Bar Exam*

July February

Expected Graduation Year*

Expected Graduation Month*

Emergency Contact

Emergency Contact Name*

First Name

Last Name

Relation*

Parent Spouse / Partner Sibling Other

Primary Phone*

Alternative Phone

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Employment Status

Will you be employed or volunteering*

Yes No

Employer/Volunteer Information

Employer's Name*

Hours of Work Per Week*

Employer's Email*

Semester of Employment*

Employer's Phone*

Employment Year*

Employer's Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Do you need add additional employment/volunteer information?

No Yes

Additional Employer/Volunteer Information

Employer's Name

Hours of Work Per Week

Employer's Email

Semester of Employment

Employer's Phone

Employment Year

Employer's Address

Address Line 1

Address Line 2

City

State

ZIP Code

Agreement

Checkbox*

I certify that I am the above noted individual. All statements made on this form are accurate to the best of my knowledge. I understand that inaccuracies and/or failure to update my Work Statement may trigger action against me under the Student Conduct Code. I certify that I have not been cited for, arrested, indicted for, or charged with any violation of criminal law (including speeding and traffic violations, but not parking violations) that I have not disclosed to the School of Law.

Signature*

[clear]

Use your mouse or finger to draw your signature above