Notice of Intent to Study Law by mkq16096

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									                                     (631) 761-7021   Fax: (631) 761-7029

      SUMMER 2010 FEDERAL WORK-STUDY PROGRAM NOTICE OF INTENT

NAME: _________________________________________ SS#: __________________________
CLASS YEAR (CIRCLE):      1      2      3     4       DIVISION (CIRCLE):      FTD      PTD      PTE
ADDRESS: _____________________________________________________________________

         _____________________________________________________________________
HOME PHONE: (         ) ____________________ CELL PHONE: (              ) ____________________
E-MAIL ADDRESS: _______________________________________________________________
JOB STATUS ( ): ____ FIRM OFFER ____ PENDING OFFER ____ REQUIRE ASSISTANCE FROM CSO
ACTUAL/ANTICIPATED WORK SITE: _________________________________________________
LOCATION OF WORK SITE: __________________________________________________________
INTENDED PERIOD OF EMPLOYMENT: ______________________ TO _______________________
PROJECTED HOURS PER WEEK: _____________________________________________________
NOTES/COMMENTS



   I certify that I intend to continue my studies at Touro Law Center in Fall 2010. I understand
   that my acceptance of this FWSP award precludes me from applying to transfer to another law
   school and that, if I do, my violation of the terms of this agreement will be considered a
   violation of the Law Center’s Code of Conduct and may be reported to the relevant authorities
   in any state where I seek admission to the bar. I understand, further, that if, for any reason, I do
   not return to Touro Law Center for the 2010-2011 academic year, I will pay back the entire
   amount of this FWSP award (as stipulated in the aid package) to Touro Law Center by
   September 30, 2010.
   I certify that I am in good academic standing (2.333 GPA), as of the end of the Fall 2009
   semester.
   I certify that I understand Federal Work Study Program (FWSP) funding is awarded on a first-
   come, first-served basis. This form must be submitted and time stamped at the Main
   Security Desk no earlier than 9:00am, Wednesday, February 3rd but no later than 2:00
   pm, Friday, April 9th, 2010.
   I certify that I understand in order to be considered for Federal Work Study Program (FWSP)
   funding, I must also complete the 2010-2011 Free Application for Federal Student Aid
   (FAFSA). (To complete the 2010-2011 FAFSA go to: www.fafsa.ed.gov. The FAFSA school
   code is: 010142.) Affixed to this document is a copy of my 2011-2011 FAFSA-
   Confirmation of Submission receipt.
   I certify that in order to maintain my position on the FWSP funding roster, I must have a firm
   offer from a not-for-profit organization or a government agency by no later than April 15, 2010.


_______________________________________________                             _____________________
STUDENT’S SIGNATURE                                                                DATE

								
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