Law School Clinic Certification Program Renewal Applicat

USPTO Law School Clinic Certification Program Renewal Application
37 C.F.R. § 11.16(b)(2) Renewal application. Each participating law school desiring to continue in the USPTO Law
School Clinic Certification Program shall, biennially from a date assigned to the law school by the OED Director,
submit a renewal application to OED in accordance with criteria set forth by the OED Director.
Law School Name: _____________________________________________________________________
Title and Type of Clinic (Patent or Trademark): _______________________________________________
Name and Title: _______________________________________

Phone: _______________________

Email: ________________________________________________________

Renewal
______________________________________________________ (law school name) wishes to renew
its participation in the USPTO Law School Clinic Certification Program.
______________________________________________________ (law school name) does NOT wish to
renew its participation in the USPTO Law School Clinic Certification Program.

Changes to Application Information
By submitting this renewal application, the law school clinic is certifying that all information and supporting
documentation submitted in the original application and subsequently supplemented to OED remains true and
accurate. If there have been any changes to the information provided to OED, please list any changes below
and/or provide updated documentation:

Dean’s Certification
I, ___________________________________________ (print name), hereby agree to the USPTO requirements
for continued participation in the Program. I will certify that each participating law school clinic student is
matriculated in the law school and is in good standing with the law school. I will certify: (i) that each participating
law school clinic student is in compliance with the law school’s ethics code and is of good moral character and
reputation; (ii) that the school has a process that ensures that no conflicts exist in the representation of clinic
clients; and (iii) that each participating law school clinic student has successfully completed his/her first year of
law school classes. I further will certify that each law school clinic student meeting these requirements will
submit the required student application form each semester that such students are participating in the clinic.
Dean’s Signature: ________________________________________

Submit

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Date: ______________________

Clear