Seneca College of Applied Arts & Technology
School of Legal and Public Administration
FPL4X0 • Field Placement
5
Equivalency Request
Student Details
Request
(This must be checked)
Use of Information
(This must be checked)
Firm’s Mailing
Address
Supervisor’s Name
and Regulatory
Membership
Firm Details
Time in the Field
Title
First Name LAST NAME
Student No. (e.g., 111-222-333)
Program
☐ I would like the field placement co-ordinator to consider my
previous experience as an equivalency to field placement.
☐ I agree to let Seneca College collect this information to determine
field placement equivalency. I understand this information may be
shared with the firm identified below, field placement personnel
and, if asked for, the Law Society of Upper Canada.
Firm Name (You have up to two lines for the firm name)
Second line of firm name, e.g., Barristers & Solicitors
Street address, eg., 1750 Finch Ave. E.
City or Town, e.g., Toronto ON M2M 1M1.
Title
First Name LAST NAME
Licensing Body Licence No.
Position or Job Title
Telephone no. with extension
E-mail
Type of Organisation
Areas of Practice
☐ Business
☐ Civil Litigation
☐ Criminal
☐ Employment
☐ HTA/POA
☐ Immigration
☐ Labour
☐ Landlord/Tenant
☐ Other Admin.
☐ Personal Injury
☐ SABS/FSCO
☐ Small Claims
Other areas
☐ Other areas:
Size of Office
Regular Office Hours
Please give the number of hours, to the nearest 0.1 hours, spent in these
areas of law.
0.0 Business
0.0 Civil Litigation
0.0 Criminal
0.0 Employment
0.0 HTA/POA
0.0 Immigration
0.0 Labour
0.0 Landlord/Tenant
0.0 Other Admin.
0.0 Personal Injury
0.0 SABS/FSCO
0.0 Small Claims
If other areas of law, list them and the hours spent in them.
Start Date: Start
End Date: End
Days in field: 20
• Last Rev. 2013.01.17
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Skills Used in
Placement
Certification
(Print out and sign.)
Software
☐ Microsoft Word
☐ Microsoft Excel
☐ Microsoft PowerPoint
☐ Microsoft Access
☐ Corel WordPerfect
☐ Corel Quattro Pro
☐ PCLaw
☐ Amicus Attorney
☐ QuickBooks
☐ Simply Accounting
☐ Summation
☐ Law Source
☐ Quicklaw/LexusNexis
☐ Mac OS
☐ FRANK
☐ ICON
Other Software
Second Languages Used Working With Clients
☐ French
☐ Cantonese
☐ Italian
☐ Mandarin
☐ Persian
☐ Portuguese
☐ Punjabi
☐ Russian
☐ Spanish
Other languages
☐ Ukrainian
I, First Name LAST NAME, certify that the information shown above is
accurate. I understand that Seneca College or, if seeking an equivalency
in the paralegal or paralegal (accelerated) program, the Law Society of
Upper Canada may wish to verify the details provided above, and I
expressly give permission for any of Seneca College and, if enrolled in
the paralegal or paralegal (accelerated) program, the Law Society of
Upper Canada to contact the firm to confirm the contents of this form.
Date
Date
Returning the Form
Signature of First Name LAST
NAME
Mail or deliver to:
Seneca College of Applied Arts and Technology
Room B4030
1750 Finch Ave. E.
Toronto ON M2J 2X5
Attention: Linda Pasternak, Kent Peel
E-mailed versions of form are not acceptable. We need a signed original.
• Last Rev. 2013.01.17
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