Online Application for Health Law Externship

Please fill out the brief information below and your information will automatically be e-mailed to our offices. 

Personal Information
Semester for Enrollment 

Number of Credits for Field Placement:

In addition to credits indicated, all JD students receiving credit for their first health law externship will be concurrently enrolled in the 1 credit graded Public Interest Workplace Course.
Which externship will you be taking? Externship I must be taken before Externship II
Your Name 
Street Address 
City 
State
Zip/Postal Code
Home Telephone
Work Telephone
Cell Phone
E-mail Address Please use your UH email address.
Current Year In Law School
Externship Information
How many hours towards your J.D. will you have completed prior to enrollment in the externship?
 
Is your GPA at least a 2.7?
 
Have you completed or will you be concurrently enrolled in Professional Responsibility?
 
Have you completed or will you be concurrently enrolled in Evidence?
 
 Have you completed or will you be concurrently enrolled in Criminal Procedure (if applying to an externship with emphasis in criminal law)?
 
Do you understand that you must have the the approval of faculty supervisor Erma Bonadero, and the placement supervisor before beginning your placement?
 
Do you understand you cannot receive both payment (including fellowships) and academic credit for your externshipor internship? 
 
Do you understand you must complete a minimum number of 180 hours (3 credit hours) or 240 hours (4 credit hours) at the placement to receive credit?
 
Do you understand that the externship is currently graded credit/no credit, the one-credit course is graded and that failure/no credit in either class will result in failure/no credit in both classes?  
 
Do you understand that if you are seeking academic credit for an externship, you must also enroll in the accompanying one-credit, graded course (Public Interest Workplace for externships) unless an exception applies?
 
Do you understand that you may participate in only one internship/externship or clinic per semester, with the exception of the summer semester when students may participate in two internships/externships for credit?
 
While the Health Law Supervisor can provide placement contact information, it is up to each student to contact the organization to apply and make arrangements for their externship prior to applying for the course. You must provide complete/detailed information on your supervisor and schedule below.
   
Organization:
Supervisor:
Organization Address:
Organization's Phone Number:
Organization's Fax Number:
Start Date:
Planned Date of Completion:
 
Please state why you are interested in this externship.
 

List the grades you received in first year Legal Research and Writing.

First Semester  

Second Semester (if complete)

 
Have you completed the Public Interest Workplace course?
 
List any other judicial internships, externships or clinics which you have taken (Be specific):
 
PRIOR TO ENROLLING IN THE EXTERNAL PLACEMENT PROGRAM, PERMISSION MUST BE GIVEN BY THE PROFESSOR. BY SUBMITTING THIS APPLICATION, YOU ARE CERTIFYING THAT THE INFORMATION IS TRUE AND CORRECT.  THE INSTRUCTOR WILL EMAIL YOU WITH QUESTIONS OR WITH APPROVAL/DENIAL OF YOUR APPLICATION.  IF APPROVED, YOUR INFORMATION WILL BE SENT DIRECTLY TO STUDENT SERVICES FOR ENROLLMENT.