Summer 2014 1L International Public Interest
Student Form

This form must be submitted no later than March 30, 2014

If you have any questions about this form, please contact Carol Vizzier

(* Required Fields)
Name: * 
Student ID# * 
Are you a U.S. Citizen or legal permanent resident? *  Yes No
Are you a joint-degree candidate? *  Yes No
If yes, what degree are you seeking in addition to the JD?    
What is your expected Graduation date? * 
Current Mailing address
Street: * 
City: * 
State/Province: * 
Country: * 
Postal Code: * 
Summer e-mail address: * 
Summer Employer: * 
Employer's Address
Street: * 
City: * 
State/Province: * 
Country: * 
Postal Code: * 
Supervisor's Name: * 
Supervisor's e-mail address: * 
Supervisor's phone number: * 
Supervisor's fax number:    
Is this the city in which you hope to practice
after graduation?
   Yes  No
If you answered No, in which city/cities are you hoping to practice?    
Explain briefly but specifically why you have
chosen this placement or if you have not
accepted a placement what type of placement
you are seeking. How will this placement further
your career goals and your law school experience?
How will this placement help you find a position for your 2L summer?    
The specific educational or practical goals for the summer. (e.g., research and writing, development
of or exposure to particular legal skills, practices,
or proceedings or expertise in an area of law practice)
The specific nature of your anticipated work in the office (after consulting with the placement site supervisor)    
How this placement fits into your overall educational program?    

* Please check each applicable paragraph.

 I am a first-year student at the Washington University School of Law.
 I have read and understand the materials setting forth the terms and conditions of the summer public interest program.
 I have accepted an unpaid legal position with the employer designated on the face of this form. I have committed myself to perform at least 300 hours of unpaid work for this employer between May 19, 2014 and August 22, 2014, reporting no more than 40 hours worked in any week.
  I have fully disclosed my intentions to engage in this outside employment to my summer employer and have provided information to ensure that no conflicts of interest exist, or that conflicts have been addressed and resolved.
 I am receiving no academic credit for the unpaid legal work undertaken in the course of the summer placement.
 Do you agree that at the conclusion of your summer internship you will complete the Share It Forward It survey.
 I will meet with my CSO advisor at least once before leaving the country and maintain email contact during the Summer 2014.
 I will update my Symplicity profile.
 I will complete the Professional Priorities survey.
 I will have my resume updated, approved by my CSO Counselor and uploaded to Symplicity by the end of June.

Please review your information carefully. By clicking submit, you acknowledge, subject to the Honor Code of the Washington University School of Law, that the information contained herein is true and complete, as of this date; and you will promptly notify the CSO should the information set forth above change.