Documents
Resources
Learning Center
Upload
Plans & pricing Sign in
Sign Out

2013 Agency Placement Agreement

VIEWS: 16 PAGES: 1

									                   THE UNIVERSITY OF HOUSTON LAW CENTER
                    PUBLIC INTEREST FELLOWSHIP PROGRAM

                       AGENCY AGREEMENT TO PARTICIPATE

Student Applicant: ______________________________________________________

Name of Organization: ___________________________________________________
Address:    _____________________________________________________________
            _____________________________________________________________

Current Contact Person: ___________________________________________________
Telephone: ______________________ Email address: ___________________________

        I have met with the student and:
        ______ Yes, if the applicant is accepted for the Public Interest Fellowship
        Program, we will provide him or her with an attorney-supervised, unpaid
        summer internship of ______ weeks (5 to 10) duration.

        ______ No, our organization does not wish to participate in the program.

Description of Agency: _____________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

Duties to be performed by Fellow: ___________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

Specify any qualifications required or preferred by Agency (e.g., bar card, courses):
_________________________________________________________________________
_________________________________________________________________________

Supervising Attorney or Agent’s Signature: ___________________________________

Date _____________ Telephone _____________ Email Address __________________

Please complete and mail, email or fax this form to:
Anna Julia, University of Houston Law Center
100 Law Center, 8 BLB
Houston, Texas 77204-6060
Fax: 713-743-2091
mailto:amjulia@central.uh.edu

								
To top