Agency Agreement Form - University of Houston Law Center

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2016 GRADUATE FELLOWSHIP PROGRAM
AGENCY AGREEMENT TO PARTICIPATE
Fellowship Applicant: ___________________________________________________________________
Name of Organization: __________________________________________________________________
Address: _____________________________________________________________________________
_____________________________________________________________________________________
Supervisor Name: ______________________________________________________________________
Telephone: __________________________ Email address: _____________________________________
Although we understand the unpredictable nature of the hiring process and that no guarantees can be
made in terms of this student’s candidacy, please answer the questions below to the best of your
knowledge at this time:
1. By working with our organization as a graduate fellow, this student is increasing his/her chance
at a permanent placement within our organization. _____Yes _____No
2. This organization has hired a recent law school graduate in a permanent capacity within the past
5 years. _____Yes _____No
3. Based on internal and/or budgetary discussions, the need to hire a new employee in 3-8 months
is foreseeable. _____Yes _____No
I agree to provide work and supervision to the above-named applicant. The Graduate Fellow will work
with this organization between the following timeframe: ______________________________________
Supervising Attorney or Agent’s Signature: _________________________________________________
Date _____________ Telephone ______________ Email Address ____________________________ ___
Please complete and mail, email or fax this form to:
Anne Elise Doise, Career Specialist
Career Development Office
University of Houston Law Center
100 Law Center, Houston, Texas 77204-6060
713-743-6717
Fax: 713-743-2091
ardoise@central.uh.edu
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