Form JD-ES-330 "Judicial Branch Experiential Learning Programs (Jbelp) - Application for Court Aide Program" - Connecticut

What Is Form JD-ES-330?

This is a legal form that was released by the Connecticut Superior Court - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2017;
  • The latest edition provided by the Connecticut Superior Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form JD-ES-330 by clicking the link below or browse more documents and templates provided by the Connecticut Superior Court.

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Download Form JD-ES-330 "Judicial Branch Experiential Learning Programs (Jbelp) - Application for Court Aide Program" - Connecticut

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JUDICIAL BRANCH EXPERIENTIAL LEARNING PROGRAMS (JBELP) -
STATE OF CONNECTICUT
APPLICATION FOR COURT AIDE PROGRAM
SUPERIOR COURT
JD-ES-330 New 10-17
www.jud.ct.gov
ADA NOTICE
Instructions to Applicant:
The
Judicial
Branch
of
the
State
of
1. Complete Page 1 of this form, and sent it by mail to: Judicial Branch External Affairs Division,
Connecticut complies with the Americans with
Experiential Learning Programs, Two Riverview Square, 99 East River Drive, Room 701,
Disabilities
Act
(ADA).
If
you
need
a
East Hartford, CT 06108 OR by email to: external.affairs@jud.ct.gov.
reasonable accommodation in accordance
2. Fill out Sections II.A., and II.B., on page 2, and have a school official or faculty member complete
with the ADA, contact a court clerk or an ADA
section II.C., of that page and return it to the Judicial Branch.
contact person listed at www.jud.ct.gov/ADA.
I. General Information
A. Personal Information
Name (Last, first, middle initial)
Year of birth
Home address (Number, street, city, state, and zip code)
Telephone number (Cell)
E-mail address
Telephone number (Home)
Parent/Guardian phone number
Parent or Guardian Name
Alternate Emergency Contact Name
Alternate Emergency contact telephone number
Languages (List any languages that you speak fluently)
B. School Information
Name of school
Address (Number, street, city, state, and zip code)
Referring School official or faculty member
Telephone number and extension
Graduation date
C. Please explain why you wish to participate in the Court Aide Program
D. Availability
Please list the days and times you are available to volunteer as a Court Aide
Day
Times Available
Monday
to
Tuesday
to
Wednesday
to
Thursday
to
Friday
to
Please list the number of hours that you are required to volunteer to get credit from your school, if applicable:
Signature of applicant
Date
(Continued on page 2)
Print Form
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JUDICIAL BRANCH EXPERIENTIAL LEARNING PROGRAMS (JBELP) -
STATE OF CONNECTICUT
APPLICATION FOR COURT AIDE PROGRAM
SUPERIOR COURT
JD-ES-330 New 10-17
www.jud.ct.gov
ADA NOTICE
Instructions to Applicant:
The
Judicial
Branch
of
the
State
of
1. Complete Page 1 of this form, and sent it by mail to: Judicial Branch External Affairs Division,
Connecticut complies with the Americans with
Experiential Learning Programs, Two Riverview Square, 99 East River Drive, Room 701,
Disabilities
Act
(ADA).
If
you
need
a
East Hartford, CT 06108 OR by email to: external.affairs@jud.ct.gov.
reasonable accommodation in accordance
2. Fill out Sections II.A., and II.B., on page 2, and have a school official or faculty member complete
with the ADA, contact a court clerk or an ADA
section II.C., of that page and return it to the Judicial Branch.
contact person listed at www.jud.ct.gov/ADA.
I. General Information
A. Personal Information
Name (Last, first, middle initial)
Year of birth
Home address (Number, street, city, state, and zip code)
Telephone number (Cell)
E-mail address
Telephone number (Home)
Parent/Guardian phone number
Parent or Guardian Name
Alternate Emergency Contact Name
Alternate Emergency contact telephone number
Languages (List any languages that you speak fluently)
B. School Information
Name of school
Address (Number, street, city, state, and zip code)
Referring School official or faculty member
Telephone number and extension
Graduation date
C. Please explain why you wish to participate in the Court Aide Program
D. Availability
Please list the days and times you are available to volunteer as a Court Aide
Day
Times Available
Monday
to
Tuesday
to
Wednesday
to
Thursday
to
Friday
to
Please list the number of hours that you are required to volunteer to get credit from your school, if applicable:
Signature of applicant
Date
(Continued on page 2)
Print Form
Reset Form
II. Judicial Branch Court Aide Verification
Please note that Section C. of this section must be completed and returned to the Judicial Branch by a school official or faculty member.
A. Student Information
Name (Last, first, middle initial)
Name of school
B. Release of Information
I authorize my school to release the educational information requested in Section C. of this section, below to the Judicial Branch to verify my eligibility to take
part in the Judicial Branch Court Aide Program.
Date
Signature
Print name
Instructions to School Official or Faculty Member:
1. The student listed above is applying to participate in the Connecticut Judicial Branch Court Aide Program. Please complete Section C., below, so the
Judicial Branch can verify that the student is eligible to take part in the program. Please be sure to include any special requirements that the student
must complete during the program, if any.
2. Return the completed form by mail to: Judicial Branch External Affairs Division, Experiential Learning Programs, Two Riverview Square, 99 East River
Drive, Room 701, East Hartford, CT 06108 OR by email to: external.affairs@jud.ct.gov.
C. School Official/Faculty Member Verification
1. Is the student listed in good standing at your school?
Yes
No
2. Has the student listed above been approved to take part in the Court Aide Program through your school?
Yes
No
3. Will the student listed above get school credit for successfully completing the program with the Judicial Branch?
Yes
No
4. If the student will get school credit, how many hours must the student work during the semester to get school credit?
Please list any special requirements that the student must meet.
Please sign below to verify the information in Section II.C. of this form, and include your contact information.
Signature
Print name
Date
Title
School
E-mail address
Office phone number
Address (Number, street, city, state, and zip code)
JD-ES-330 New 9-17 — Page 2
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