2013 THURGOOD MARSHALL SUMMER LAW INTERNSHIP PROGRAM. EMPLOYER REGISTRATION FORM. EMPLOYER NAME: ...
2013 THURGOOD MARSHALL SUMMER LAW INTERNSHIP PROGRAM EMPLOYER REGISTRATION FORM EMPLOYER NAME: ________________________________________________________________________________ ___ NEW EMPLOYER
___ RETURN EMPLOYER
ADDRESS: _________________________________________________________________________________ _________________________________________________________________________________ SUPERVISOR’S NAME: _________________________________________________________________________________ SUPERVISOR’S EMAIL: _________________________________________________________________________________ SUPERVISOR’S PHONE & FAX: _________________________________________________________________________________ BRIEF DESCRIPTION OF DUTIES: _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ SALARY PER HOUR: _________________________________________________________________________________ CONTACT PERSON, PHONE & EMAIL (IF DIFFERENT FROM SUPERVISOR): _________________________________________________________________________________
PLEASE RETURN THIS FORM BY FRIDAY, MARCH 22nd TO: Gabrielle Lyse Brown Email:
[email protected] ; Fax: (212) 768-8116 OR MAIL TO: Gabrielle Lyse Brown Office of Diversity Pipeline Initiatives 42 West 44th Street New York, NY 10036
