... Summer Law Internship Program? School/Teacher. Website/Facebook/Twitter ... before Friday, March 18th to: Monica Par
2016 THURGOOD MARSHALL SUMMER LAW INTERNSHIP PROGRAM STUDENT APPLICATION Please print clearly or type. Return this form and the required materials (below) to the New York City Bar, 42 West 44th Street, New York, NY 10036 by Friday, March 18th. First Name: ____________________________________ Last Name: _____________________________ Street Address: ________________________________________________________________________ City: __________________________________________ Zip: __________________________________ Home Phone: __________________ Cell: ______________________ Email: ______________________ Age: ____________________________ Date of Birth (M/D/Y): ________________________________ School: ___________________________________________________ Grade: ____________________ Name & Phone of Parent/Guardian: _______________________________________________________ TO BE CONSIDERED FOR AN INTERVIEW, YOU MUST BE A U.S. CITIZEN, MUST BE AT LEAST 16 YEARS OF AGE AND ATTACH TO THIS FORM: REQUIRED ITEMS: A copy of your transcript and working papers A resume A recommendation letter from a teacher Availability for interview at the City Bar (Monday-Friday, 9am-5pm) Signed Consent Form to attend evening programs (see reverse) A 300-500 word essay on the accomplishments of Justice Thurgood Marshall A.
When is your last day of school this school year (including graduation/exams)? ______________ On what date can you begin work? ________________________________________________
B.
Are you planning to attend summer school? Yes ___________
C.
Do you have any previous office experience or special skills (computers, typing, languages, etc.)? ____________________________________________________________________________
D.
Please list any New York City Bar programs that you have participated in (i.e. Constitutional Rights Symposium, Negotiation Workshop/Competition, etc.) _____________________________________________________________________________
E.
Please describe briefly why you would like to participate in the Thurgood Marshall Summer Law Internship this summer, and how you think participating in the internship program will affect you. ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________
F.
How did you find out about the Thurgood Marshall Summer Law Internship Program? School/Teacher Other Program (please list): ___________________________ Website/Facebook/Twitter
No ____________
Were you nominated to this program? If so, please provide the name and phone number of who nominated you. _____________________________________________________________________________ I am aware that if I am hired through this program, I will be required to participate in all internship activities that do not interfere with my job. INTERNSHIP PROGRAMS ARE IN THE EVENING. STUDENT SIGNATURE: _____________________________________________ DATE: _________
2016 THURGOOD MARSHALL SUMMER LAW INTERNSHIP PROGRAM CONSENT FORM This form is to certify that the undersigned is a willing participant in the Thurgood Marshall Summer Law Internship Program at the New York City Bar Association and that the participant has the consent of his or her parent or legal guardian if the participant is less than 18 years of age. By signing this form, the participant verifies that he or she has read and understands the following requirements of the program: -
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All interns will be required to work in the manner prescribed by the administrators of the Thurgood Marshall Program. Students will arrive at work and events on time. They will treat their employers with the utmost respect and any problems that arise on or off the job will immediately be brought to the attention of the Program Director. In conjunction with their work experience, all interns will attend a series of evening events to be held at various locations throughout New York City. These events will begin with an opening reception at the end of June and conclude with a closing ceremony in August 2016. Specific dates will be provided as they become available. Interns will be responsible for their own transportation to and from these events and will be expected to arrive promptly and be dressed in professional attire. All interns must be able to work legally within the United States. It is the intern’s duty to provide any forms of identification or employment eligibility documentation his or her employer may request. Neither the Thurgood Marshall Program nor the New York City Bar will act as chaperone for any student to or from work; however, all evening events will be administered by a member of the Thurgood Marshall Program staff.
I _________________________ (name of intern or parent/guardian if intern is under 18) have read and fully understand the above requirements of the New York City Bar Association Thurgood Marshall Summer Law Internship Program. By signing this form, I consent to _________________________ (name of intern), who is ____ (age of intern) years of age, participating as a student intern working under the above parameters. _______________________________ _______________________________ Student Signature Parent/Guardian Signature (Required only if student is under 18) _______________________________ _______________________________ Date Date Please return this form with your application before Friday, March 18th to: Monica Parks Diversity Pipeline Initiatives New York City Bar Association 42 West 44th Street New York, NY 10036 Phone: (212) 382-6772 Fax: (212) 869-2145 Email:
[email protected] 