Paralegal Studies Department
(860) 768-5463
ABA Approved Paralegal Program
Application for Paralegal Certificate Evaluation


Students due to complete their program of study
should consult with their advisor and submit this application.

Students should apply in:
- June for a September completion
- October for a December completion
- February for a May completion.
Request Date
Advisor Name
BS/AS/Cert
Admission Date
Graduation Date
Last Name
First Name
MI
Student ID #
E mail
Home Address
Street
City
State
Zip Code
Home Phone
Employer Name
Address
City
State
Zip Code
Work Phone
Name As It Should Appear On The Certificate


Please type the code shown in the image: