Externship Registration Form

Note: This form is for students who wish to participate in the Government/Public Interest or Entertainment Externship programs only. Do not submit this form if you are seeking participation to the Judicial or Internal Revenue Service Externship programs. For more information on the Judicial and IRS Externships, please visit the Externship program information page.

EXTERNSHIP INFORMATION
 

I'm registering for an externship in*   --Select-- Government/Public Interest Entertainment  

Semester for which you are applying to extern*   --Select-- Fall Spring Summer   Year*   --Select-- 2020 2021 2022 2023 2024 2025  

STUDENT INFORMATION
 

 
First Name*  

 
Last Name*  

SHUID*    

Phone*    

Email*    

Anticipated Year of Graduation   --Select-- 2020 2021 2022 2023 2024 2025  

Cumulative GPA*    
 

EMPLOYER INFORMATION
 

 
Name of Employer*  

 
Name of Supervising Attorney*  

 
Employer Address*  

Employer Phone*    

Employer Email*    
 

Credit Requirement  

This externship cannot be added if you are at or near the credit maximum for the semester (12 for part-time, 16 for full-time). To facilitate registration for this externship, you may drop a course by providing the course name and course number of the course you would like to drop. If you do not need to drop a course in order to enroll in an externship, then leave this section blank.  

Course Name*    

Course Number (i.e. PROP2222)*    
 

CERTIFICATION
 

--Select-- Yes No   I certify that the information provided above is accurate and that I wish to register for this externship.*