2016 Graduate Fellowship Application This application form, a copy of your resume, and the agency agreement must be received electronically by the Career Development Office by May 9, 2016. Applications should be emailed to Anne Elise Doise at ardoise@central.uh.edu . NAME ___________________________________________________________________________________________ PRESENT ADDRESS _______________________________________________________________________________ ________________________________________________________________________________________________ NON-UH EMAIL ADDRESS ________________________________________________________________________ HOME TELEPHONE _________________________________ CELL PHONE__________________________________ Have you completed all graduation requirements (to the best of your knowledge)? _________________________ Have you sat for the February 2016 or will you sit for the July 2016 Bar? ____________ Which state? ______________ Are you working now? ______ If yes, where? ___________________________________________________________ Placement Organization: __________________________________________________________________________ Questions 1 – 6 should each be answered in 500 words or less. 1. Are you currently employed or do you have part-time or full-time employment lined up for Fall 2016? 2. Describe your interest in the organization indicated. 3. Describe your career goals and explain how this program will help you attain those goals. 4. Describe your interest in serving the community. In doing so, please describe prior service activities. 5. Lack of resources, both individually and institutionally is often an obstacle to law graduates entering or remaining in public interest employment. Please discuss possible public interest funding sources and your thoughts on the issue of repaying your education debt if you become a public interest lawyer. 6. If you are not selected to receive a fellowship, what do you plan to do August though October of this year? 7. List name, address, complete telephone number, and email address for two individuals who are well acquainted with you and would vouch for your character and/or professional abilities. 8. I agree that if I am selected for a fellowship, but am unable to complete my commitment, I will return any fellowship funds received to the University of Houston Law Center and understand that if I do not do so the University will place a stop on my records. ______Yes _______ NO 9. I agree that if I am selected for a fellowship, I will participate in bi-weekly career coaching as scheduled and maintain communication with the Law Center through the Career Development Office. I understand that if I do not do so the University will place a stop on my records. ______Yes _______ NO I verify the information provided in this application is true and correct. Digital signature and/or email submission of this application will serve as your verification. _______________________________ Signature of Applicant __________________________________ Date