Health, Technology and
Intellectual Property

CLE Financial Assistance Form

Seton Hall University School of Law recognizes the importance of offering continuing legal education opportunities to attorneys practicing in the New York/New Jersey metropolitan area. To this end, an effort will be made to offer scholarships to individuals who will benefit from the continuing legal education programs offered by Seton Hall University School of Law.

Scholarships will be limited in number and amount (not to exceed 50% of tuition) and will be awarded based on financial need, professional qualifications, availability of funds and date of application.

Please complete all sections below and if you have any questions about the scholarship or continuing legal education, contact Rosa Alves, Assistant Dean at 973-642-8187 or rosa.alves-ferreira@shu.edu.

Personal Information
First Name:
  
Last Name:
  
Title:   
Employer:   
Street Address:
  
City:  State:  Zip:  
Telephone Number:
  
Email:   
Undergraduate Degree: (institution, degree & year)
  
Law Degree (institution & year):
  
Other Graduate Degree(s), if applicable (institution, degree, & year):
  
Program Information
Name of Program you would like to attend:
   
   
   
   
   
  
Professional Information
Briefly describe your job/role and your responsibilities within your firm, department or division and include information related to your interest/experience in the field of the proposed Program(s):
  
How would this Program(s) enhance your career?
  
Provide any other information you feel is important to your consideration as a scholarship recipient:
  
Supervisor or employer endorsing this application:
Supervisor Name:
  
Supervisor Title:
  
Supervisor Telephone:
  
Supervisor Email:
  
 the information provided in this application is true and you may contact my supervisor/employer as listed above.