Child Welfare Certificate Requirements Checklist

Attention students: This form is to be completed in your final semester of law school. You must have submitted a notice of intent form prior to completing the requirements checklist. 

Certificate Requirements Checklist

First Name (as you'd like it written on your certificate)*

Middle Name or Initial

Optional

Last Name (as you'd like it written on your certificate)*

Date*

Email*

Post-graduation email address

Address*

Post-graduation mailing address

Address Line 2

City*

State* ALAKARAZCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Postal Code*

MHSL ID Number*

What type of student are you?

Full Time

Part Time

Blended Learning

If you are human, leave this field blank.