Law Practice Management Program: Personal Information

Faculty of Management
Halifax NS B3H 4R2 Canada

Executive Education Inquiries
Tel: 1.902.494.4450
Fax: 1.902.494.5164
Email: [email protected]
www.dal.ca/execed
LAW PRACTICE MANAGEMENT PROGRAM

Personal Information
To Apply:
Full Legal Name
Please refer to our website for the current

schedule of dates courses are offered.
dal.ca/execed/lpm
Please complete all sections of the application.
Be sure to sign the declaration on the final

page of the application before submitting.
Be sure to indicate whether you are applying

to enrol in the full Certificate program or
only individual courses.
Include your full legal name as it appears on your official identification documents, for example your birth certificate or
passport. Your full legal name should also appear on all supporting documents.
Middle Name
Street Address/PO Box
Student:
Cell Phone
Telephone
D D / M M /Y Y Y Y

Yes
No
E-mail
Organization Details (if you are a student provide school information)

Please provide the name of your company, or employer, or academic instituion if you are a student.
Street Address/PO Box
City
Postal Code
Province/ State
Work E-mail
Work Phone
Course Selection (Please select the program/course(s) you would like to enrol in).
A.
q Full Certificate Program (7 modules) - Certificate in Law Practice Management
B.
q Enrol in individual courses only. Please select below, which courses you would like to enrol in.
Module 1: Introduction to Running the Law Practice as a Business
Module 2: Client Care
Module 3: Human Resource Management for Law Offices
Module 4: Sales and Marketing for Law Offices
Module 5: Financial Matters
Module 6: Law Offices: Beyond Partnerships
Module 7: Group Project - Interactive Case Study (Prerequisite of Modules 1-6)
please continue next page
Work Experience
Please list your positions in reverse chronological order, starting with your current one. If all positions are in the same company, please give the major
promotional sequence.
NAME OF COMPANY
TITLE OR POSITION
FROM Month/Year
TO Month/Year
Please estimate your total years of professional experience:
Academic History (College/ University/ Other)

Yes
No
If yes, please provide your ID #:
List any Post Secondary Educational institution you have attended or are currently attending.

Degree/Diploma Awarded & Date
MM/YYYY
MM/YYYY
MM/YYYY
MM/YYYY
MM/YYYY
MM/YYYY
Have you ever been required to withdraw from any Educational institution for academic reasons?
q Yes q No
If yes, which institution _____________________________________________________ Date
D D M M Y Y Y
Reason
References
Please provide the name, phone number, and email address of at least two references of personal, professional, or academic relations. Admissions may or may not
contact your references, but in the case that they do, you will be notified prior to contacting.
Name
Please select the relation:
Email Address
q Personal
q Personal
Name
q Professional q Academic
Email Address
Name
Phone Number
Email Address
q Personal
Phone Number
Phone Number
Tution and Payment:

Tuition:
1. The Certificate program fee is $3,650. (plus applicable taxes). 50% of the payment must be made prior to the start of program week 1, and the other
50% of the payment must be made prior to week 2 of the program.
2. Tuition for individual modules is $595 per course (plus applicable taxes). Payments must be made in full prior to start date.
Student Rate:
Students in their 2nd or 3rd year of Law School, who are in good academic standing, may register in the full Certificate program at a reduced tuition of
$900. Registration in the full Certificate program is required to be eligible for the student tuition rate.
Payments may be made in the form of credit card or cheque. If paying by cheque, they should be made payable to Dalhousie University, Executive
Education.
Additional Information Please submit the following information on separate additional pages:
If you are law school student please provide confirmation of your enrollment in a recognized Law School.
Deadline Information
All documents received become the property of Dalhousie University and will be used at the discretion
of the University for internal purposes only. Documents will not be photocopied or returned to the
student.
Applications must be received, either

by mail or electronically, no later then
the date stated online.
www.dal.ca/execed/lpm
Cancellation Policy
Cancellations or deferrals must be submitted in writing more than 30 days before the program start date to receive a full refund. Due to program demand
and the volume of preprogram preparation, cancellations or deferrals received 14 to 30 days before the program start date are subject to a fee of 10%
of the program fee. Requests received within 14 days of the program start date are subject to a fee of one half of the program fee.
Upon acceptance, payment is required prior to the program start date.
I have read the cancellation policy and agree to the terms stated.(please initial here)
Declaration (Required)
I hereby certify that all of the above information provided in this application is complete and correct, and I authorize Dalhousie University to verify any
information provided as part of this application. I understand that withholding information or falsification of information in this application or supporting
documents may be considered grounds for non-admission or, after admission, grounds for dismissal. I agree that details concerning my application,
enrolment or any falsification of information may be provided to other institutions including the Association of Registrars of the Universities and Colleges of
Canada, in accordance with the Freedom of Information and Protection of Privacy Act. I agree to follow and be bound by the provisions of the
Calendar, and the regulations of the University, including any revisions, deletions, or additions made to them in the future. If admitted, I agree to pay all
fees associated with my registration and enrolment at the University.

Date
All supporting documents must be sent to Executive Education prior to the

application deadline.
Executive Education
Dalhousie University Faculty of Management
6100 University Avenue, Suite 2060
Halifax, NS B3H 4R2 Canada
All submitted documents become the property of Dalhousie University and will not
be returned. Your application must be complete to be processed and a decision
made. Possession of minimum requirements does not guarantee admission.
Acceptance to the program is limited by the number of spaces available.
For information regarding your application, contact Executive Education
Email: [email protected] or Tel: 1.902.494.4450.

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Faculty of Management

Halifax NS B3H 4R2 Canada

LAW PRACTICE MANAGEMENT PROGRAM

Full Legal Name

Please refer to our website for the current

Please complete all sections of the application.

Be sure to sign the declaration on the final

Be sure to indicate whether you are applying

Street Address/PO Box

Organization Details (if you are a student provide school information)

q Full Certificate Program (7 modules) - Certificate in Law Practice Management

please continue next page

Please estimate your total years of professional experience:

Academic History (College/ University/ Other)

If yes, please provide your ID #:

Degree/Diploma Awarded & Date

If yes, which institution _____________________________________________________ Date

Please select the relation:

Tution and Payment:

Applications must be received, either

All supporting documents must be sent to Executive Education prior to the

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