Public Interest Law - Public Interest Fellowship Program Application
Agency Agreement to Participate
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.
 
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:

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