Student Clerkship Registration Form - Santa Clara University
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1EMAIL TO FACULTY SUPPORT OFFICE
STUDENT CLERKSHIP
kwampler@scu.edu
REGISTRATION FORM
SCHOOL OF LAW
Student Name:
SCU ID #
S
SCU Email:
T
U
Local Address:
Local Phone #:
D
E
Street Address
N
City:
State:
Zip Code:
T
Permanent Address:
I
Perm. Phone #:
N
Street Address
F
City:
State:
Zip Code:
O
Recommenders:
Date of Completion
)
(Name of Professor
1.)
1.)
2.)
2.)
3.)
3.)
4.)
4.)
TO BE COMPLETED BY FACULTY SUPPORT OFFICE
Administrative
Assistant:
Email:
D
E
P
Start date:
End Date:
T
I
COMMENTS:
N
F
O
Revised 2/27/07
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Parent category: Life