Public Interest Law

 

Summer Public Interest Fellowship Agency Agreement to Participate - Online Submission Form

 

To download an Agency Agreement Form, click here.

Student Applicant:
Name of Organization:
Address:
Contact:
Phone:
Email:
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.

When entering information into the fields below please do the one of the following:

1)      Type directly into the box

2)      If you would like to paste from a program other than Word, click the Plain Text button and  paste the information into the box that appears and Click Insert.

3)      If you would like to paste from Word, click the Word Paste button and paste the information into the box that appears and click Insert.
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:
This is the equivilant of signing an actual sheet of paper.
Date: Fax:

Please complete and mail, email, fax or hand deliver this form to:

Bhavika Shah
Career Development Office
University of Houston Law Center
100 Law Center
Houston, TX
713-743-2090
713-743-2091 (fax)
bashah2@central.uh.edu