Application for the Certificate in Child Advocacy

Thank you for your interest in the Certificate in Child Advocacy. To apply for the certificate, please complete the form below.

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Contact Information

First Name Last Name

Street Address (Optional)

Zip Code City State

Email Phone

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Additional Information

Law School

Anticipated Graduation Date

Dates of Legal Internship with LSC

Child Advocacy Internships & Clinics

Participation in relevant student associations

Completed course work that is relevant to child advocacy

This may include classes in juvenile law or family law. Only coursework with a passing grade should be listed. Please list by course title.

Will you be claiming the stipend?

My bar exam registration fees and preparation classes will not be paid for by another source and therefore I qualify for and wish to receive the $1,000 stipend. I understand that receipts must be submitted to receive the stipend. My bar exam registration fees and preparation classes will be paid for by another source and therefore I will waive the $1,000 stipend

After completing this form, please submit the following documents via email to David White at David@lsc-sf.org:

Confirmation Letter from Organization #1
Confirmation Letter from Organization #2*
Receipts from bar exam registration fees and preparation classes (Please include one PDF of all receipts if you are seeking the $1,000 stipend.)
Completed W-9 Form