Former Clinic students may request that their faculty supervisor complete a Form Affirmation as to Applicant’s Law-Related Employment and/or Solo Practice for New York Bar Admission by doing the following.

1. Complete the top section:  your name, the Appellate Division, and your BOLE ID #.
2. Email clinic@law.upenn.edu with “NY Bar Employment Affirmation” in the subject line. Attach your Affidavit form to the e-mail.  In your e-mail please include:

• • The name of the clinic(s) you were enrolled in. [Note:  All currently enrolled Clinic students should submit this request after the end of the semester’s examination period.)
  • The semester/year you were enrolled and if you were an Advanced student.
  • The name of your faculty supervisor.
  • The address where you would like the completed form to be mailed to (or advise if you prefer to pick the form up in our office). 

We will complete the Affirmation and mail it to you.  We will also email you a pdf of the completed form.

Normal processing time is approximately two weeks.  Please do not wait until the last minute to submit these forms as they may not be returned promptly if your Faculty Supervisor is not currently in the office or is otherwise unavailable when you make the request.

Note:  Externship students should contact their placement site supervisor directly to complete this Affirmation.

Former Clinic students may request that their faculty supervisor complete an Affidavit related to the New York Pro Bono Requirement by doing the following.

1. Complete the first section with your name, address, and BOLE ID number.  We will complete the rest of the first page for you. 
2. Email clinic@law.upenn.edu with “NY Pro Bono Requirement Affidavit” in the subject line and attach your Affidavit form.  Include in your email your former faculty supervisor’s name, the clinic in which you were enrolled, and the semester/year.  You may also request a notary appointment with our Clinic notary (see #3 below).  [Note:  Students currently enrolled in a clinical course should not request this until after the end of that semester’s examination period.]
3. After we complete the first page, we will return the entire form via email for you to sign before a notary.  If you are in Philadelphia, we may be able to provide notary services at the Clinic office.  Please note in your initial email your interest in scheduling a notary appointment.   
4. Email the signed and notarized form back to the Clinic office (clinic@law.upenn.edu) for the faculty supervisor to sign the Supervisor Certification on page 3.  [The New York Bar requires the faculty supervisor to sign after the applicant signs.]

After the faculty supervisor signs certification page, we will mail the completed Affidavit to you, unless you advise that you will be picking up the form in our office, and email you a pdf of the completed form.  

Normal processing time is approximately two weeks.  Please do not wait until the last minute to submit these forms as they may not be returned promptly if your Faculty Supervisor is not currently in the office or is otherwise unavailable when you make the request.

Note:  Externship students should contact their placement site supervisor directly to complete this form.

For information about satisfying the New York Bar pro bono requirement, visit TPIC’s website.