Paralegal Online Registration Form

Information gathered in this application is subject to verification.
Inaccuracy may affect your admission to the program.

Personal Information

Did you find us through Facebook?:

First Name:

Last Name:

Email:

Phone:

Address:

City:

Please Select State:

Zip Code:

Panther ID (if available):

Emergency Contact

Full Name:

Address:

Phone:

Relationship to Applicant:

Employer Information

Employer Name:

Employer Address:

Employer City:

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Employer Zip Code:

Highest Level of Education:

What term are you applying for?:

Additional Info

Country of Birth:

City of Birth:

Date of Birth:

Gender:

Race:

Institution where most course work of highest degree was granted:

Dates Attended - START:

Dates Attended - END:

Applicants who respond in the affirmative to any question addressing character or fitness, including questions regarding criminal, academic, or conduct history, are not automatically barred from admission, but are subject to additional review. All applications responding affirmatively to questions of character and fitness, including questions regarding criminal, academic, and conduct history, must be accompanied by a written explanation and current or final disposition of the proceeding. All official documentation explaining the current or final disposition of the proceedings may be requested at a later date.

Are you currently, or have you ever been, charged with or subject to disciplinary action for scholastic or any other type of misconduct at any educational institution?

Have you ever been charged with a violation of the law which resulted in probation, community service, jail sentence, or the revocation or suspension of your driver's license? If your records have been expunged pursuant to applicable law, you are not required to answer yes to this question. If you are unsure whether you should answer yes to the above two questions, we strongly suggest that you answer yes and fully disclose all incidents. By doing so, you can avoid any risk of disciplinary action or revocation of an offer of admission.

If you answered "yes" to any of the questions above, please send any relevant documents to legal@fiu.edu.

Alien Card Number or Visa Type:

Date Issued:

Date Expired: