Trauma-Informed Advocacy Certificate Register NowParticipantFirst Name*Middle NameLast Name*Date of Birth*I wish to enroll in the program starting:* March 2023Contact InformationAddress*City/Town*State* AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYProvince/RegionStateZIP/Postal Code*CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCôte d‘IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwePreferred Phone Number*Email Address*Confirm Email Address*Educational Institution/DegreeInstitution NameDegree Awarded Ph.D.J.D.M.D.D.O.MBALL.M.RNBSNMSNDPNM.S.M.A.B.A.B.S.A.A.A.S.OtherDegree AwardedYear Degree Awardedplus1 Add Another Institutionminus1 Remove Are you a graduate of any of the following schools? Mitchell Hamline School of Law Hamline University School of Law William Mitchell College of LawEmployment InformationCurrent job title:Current employer:Are you currently employed by a non-profit or government organization? Yes NoHow did you hear about this program?Billing InformationPlease send my invoice to Me Other than registered participantBilling Contact (if other than registered participant)First Name*Last Name*Phone Number*Position/TitleOrganizationEmail Address*Confirm Email Address*Billing AddressCity/TownState AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYProvince/RegionStateZip/Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCôte d‘IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweRegistration and Cancellation PolicyA non-refundable seat deposit of $150 is required to secure a place in the program. Payment of the full tuition balance is due prior to the start of the program, unless otherwise noted and worked out with the program manager. Failure to pay the full tuition balance prior to the start of the program, or by the date agreed upon with program manager, is subject to legal action. Any additional costs as a result of legal action will be the responsibility of the registrant. An invoice will be emailed to registered participants. A 2.75% service fee will be assessed when paying via CASHNet with a credit or debit card (eChecks have no fee).Students must register for, or drop a professional legal education program no later than 12 pm CST on the Friday immediately following the program’s start. Tuition may be refunded, if the drop request is received prior to 12 pm CST on the Friday immediately following the program’s start. Students who drop after 12 pm CST on the Friday immediately following the program’s start will be responsible for their remaining tuition balance.Mitchell Hamline School of Law (MHSL) reserves the right to cancel the program or deny enrollment for any reason without notice. In the event of program cancellation or denial of enrollment, the liability of MHSL is limited to a full refund of all tuition and deposit paid. MHSL is not responsible for any other related costs under any circumstances. Refunds will be issued within 30 days of the refund event.MHSL will not provide a refund of tuition or seat deposit to anyone registered who does not participate in or complete the program. One transfer to a subsequent date of the program will be permitted, provided space is available and requests are received by the deadline. Requests for transfers/deferrals must be documented in writing and sent to [email protected] no later than 11:59 p.m. CST on the last day of the mid-term break. Deferral requests received after the deadline will not be considered and will be denied. Requests for transfers must be documented in writing and sent to [email protected]. Transfer requests received after the program has begun, may be subject to a non-refundable administrative fee equal to 10% of the full program tuition.Mitchell Hamline School of Law is registered with the Minnesota Office of Higher Education pursuant to Minnesota Statutes sections 136A.61 to 136A. 71. Registration is not an endorsement of the institution. Credits earned at the institution may not transfer to all other institutions.Agreement* I understand and agree to the terms and conditions of the registration and cancellation policy. I certify that the information provided in this registration is accurate.Any additional notesreCAPTCHAIf you are human, leave this field blank.
