New York Law School :: slove test

Professional Liability Insurance Questionnaire

* Date
* First Name
* Last Name
* Affiliation (Please select):
* Course Name
* Semester (Please select the semester which you are currently enrolled):
Placement Organization (Externships Only)
* Within the last five years, has any claim, charge, investigation, lawsuit, or proceeding ever been made or instituted against you, or any lawfirm, lawyer, or legal services organization in connection with your legal work or provision of legal services?
If yes, please attach pertinent details, including the disposition of this matter. If you are uncertain whether to disclose an event, you should disclose it.
* Please type your full name. By doing so, you acknowledge that (1) the information you provided in this questionnaire are true, complete and accurate, and (2) typing your name and clicking "save" constitutes your electronic signature.