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#0919-RL0101-01
Supplemental Questionnaire

Last Name
First Name
1.

PATTERN I

Have you completed an approved paralegal training program?
Yes No
1a.

If you answered "Yes" to Question No. 1, please identify the paralegal training program you completed.
2.

PATTERN II

To qualify under this pattern, please identify the total number of units completed at law school and the law school attended. (Please note that at least 40 units must have been completed by the final filing date in order to qualify)
3.

PATTERN III

Do you possess a Bachelor's Degree from an accredited college/university with a major in social or political sciences or a related field?  
Yes No
3a.

If you answered "Yes" to Question No. 3, please provide the name of the college/university and the major you received your degree.
3b.

Do you possess one year of full-time, paid paralegal work experience?
Yes No
3c.

If you answered "Yes" to Question No. 3b, please provide details regarding your experience. Include the name of your employer, job title, dates of employment, number of hours worked per week and a detailed description of the specific job duties you performed.