Public Interest Law

GRADUATE PUBLIC INTEREST FELLOWSHIP PROGRAM
THE UNIVERSITY OF HOUSTON LAW CENTER
AGENCY AGREEMENT TO PARTICIPATE

This form can be downloaded in Word Format here.

Fellowship Applicant:
Name of Organization:
Address:

Current Contact Person:
Telephone:
Email address:
We have met with the applicant named above and (please check one of the following):
We accept the applicant and agree to provide work and supervision, or
Our Organization agrees to maintain professional malpractice and errors and omissions insurance covering the fellow who is a qualified unlicensed law school graduate, or
Insurance is unnecessary as the supervising lawyer is supervising the graduate fellow in the lawyer's official capacity as a public prosecutor or assistant public prosecutor or is otherwise protected by governmental immunity.

Please include your name in the box below and electronic submission of this form will be deemed your signature.
Supervising Attorney or Agent’s signature:
Date Telephone Email Address
Please complete and mail, email or fax this form to: Catherine Wright, Program Manager Career Development Office University of Houston Law Center 100 Law Center, Houston, Texas 77204-6060 Fax: 713-743-2091 cmwright@central.uh.edu