PLEL Certificate Enrollment Form

Enrollment is automatic, upon submission of this form, for day students entering their second year and for evening students entering their first or second years who are in good academic standing. All other students should contact Professor Martin Malin , Professor César F. Rosado Marzán or Institute for Law and the Workplace Executive Director Marsha Ross-Jackson.

Select which options that applies to you: *

I am enrolling into the Certificate Program in Labor and Employment Law (LELP)

I have applied for the Certificate in the Litigation and Dispute Resolution (LADR)

I expect to graduate in: *

Year

Month

Day

Your name (as you want it to appear on the certificate): *

Date of birth:

Year

Month

Day

Your name: *

Your e-mail address: *

Address 1: *

Address 2:

City: *

State/Province: *

Zip/Postal Code: *

Home Phone:

Work Phone:

If you have a special background or interest, please let us know:

Division

Day

Evening

Year in School:

1

2

3

4

Date of Enrollment:

Year

Month

Day

PLEL Certificate Enrollment Form

JD Certificate Program in Labor and Employment Law