SONOMA STATE UNIVERSITY EXTENDED EDUCATION
Application for Admission

Please fill out and print this form.
Social Security#
Date of Birth
Sex (enter M or F)
Name first last

middle
Mailing Address
City State Zip
Home Phone ans Day or Message Phone
email address
Employer
Job Title
Employer Address
City State Zip

List in chronological order all colleges and universities attended, including professional schools, regardless of length of attendance


ALL INSTITUTIONS

School name and location


DATES ATTENDED

From (mo/yr) -
To (mo/yr)


Units
Completed
Estimated
GPA
DEGREE
RECEIVED
DATE
RECEIVED
-
-
-
-
-

I am applying for the semester beginning (enter year):

List any law-related or Paralegal courses you have completed or in which you are currently ennrolled.

Indicate your professional goals (check all that apply):
Other
Admission to this program requires satisfactory scores on the oral and written entrance examinations.

Please include a $50 certification fee by check or money order, payable to Sonoma State University.

Applicants Signature Date

This application may be presented to the Program Coordinator during a scheduled interview, or mail to:
Program Coordinator
Legal/Court Interpreter Program
Sonoma State University Extended Education
1801 E. Cotati Avenue
Rohnert Park, CA 94928-3609

FOR OFFICE USE ONLY
Date received ENTERED
Interview Check or MO
WEPT Action
Essay Admission letter