CHAYES FELLOWSHIP PLACEMENT FORM

							     CHAYES INTERNATIONAL PUBLIC SERVICE FELLOWSHIP PLACEMENT FORM
                              SUMMER 2011

1. Name of organization:


2. Address:


3. Website:


4. Name and title of placement organization contact person:


5. Telephone, fax and e-mail of placement organization contact person:


6. Name and title of fellow’s supervisor (if different from organization contact person):


7. Telephone, fax and e-mail of fellow’s supervisor (if different from organization contact person):


8. Overview of organization’s mission and activities (separate materials may be attached):




9. Description of proposed project for Chayes Fellow. Please include details about the specific role and
   responsibilities that the Chayes Fellow will be assigned (additional pages may be attached if necessary):




10. Particular skills necessary for fellowship (i.e. language proficiency, computer familiarity):




11. Will this fellowship involve additional work during the semester following the summer? If yes, please
    describe.



12. Type of assistance in obtaining housing that organization could provide the Chayes Fellow:




                                             Please return this form to:
                               Ben Cook, Program Officer, International Legal Studies
                Harvard Law School ∙ Lewis International Law Center, Room 203 ∙ Cambridge, MA 02138
                                   +1 (617) 496-0899 (tel), +1 (617) 496-9179 (fax)
                                           bcook@law.harvard.edu (e-mail)