Online Application for Mediation Clinic

Please fill out the brief information below and your information will automatically be e-mailed to our offices. 

Personal Information

Semester for Enrollment 
Your Name 
Street Address 
Zip/Postal Code
Home Telephone
Work Telephone
E-mail Address
Please use your UH email address.
Current Year In Law School
Clinic Information
How many hours towards your J.D. will you have completed prior to enrollment in the mediation clinic?
List any other clinics which you have taken (Be specific):
List any languages in which you are fluent:

Do you understand this is a 2 or 3 credit, pass/fail clinic and you must complete 60 hours for every semester hour for a total of 180 hours?

Do you understand you must attend all class sessions (including any orientation sessions)? No more than 2 absences are allowed for any clinic.
Please indicate why you are interested in the Mediation Clinic.

Prior to enrolling in the Mediation Clinic, you must have an interview with Professor Willis. Registration forms will be submitted directly to Student Services by Professor Willis.