2016 THURGOOD MARSHALL SUMMER LAW INTERNSHIP PROGRAM
STUDENT APPLICATION
Please print clearly or type. Return this form and the required materials (below) to the New York City Bar, 42 West 44th Street,
New York, NY 10036 by Friday, March 18th.
First Name: ____________________________________ Last Name: _____________________________
Street Address: ________________________________________________________________________
City: __________________________________________ Zip: __________________________________
Home Phone: __________________ Cell: ______________________ Email: ______________________
Age: ____________________________ Date of Birth (M/D/Y): ________________________________
School: ___________________________________________________ Grade: ____________________
Name & Phone of Parent/Guardian: _______________________________________________________
TO BE CONSIDERED FOR AN INTERVIEW, YOU MUST BE A U.S. CITIZEN, MUST BE AT LEAST
16 YEARS OF AGE AND ATTACH TO THIS FORM:
REQUIRED ITEMS:
 A copy of your transcript and working papers
 A resume
 A recommendation letter from a teacher
 Availability for interview at the City Bar (Monday-Friday, 9am-5pm)
 Signed Consent Form to attend evening programs (see reverse)
 A 300-500 word essay on the accomplishments of Justice Thurgood Marshall
A.
When is your last day of school this school year (including graduation/exams)? ______________
On what date can you begin work? ________________________________________________
B.
Are you planning to attend summer school? Yes ___________
C.
Do you have any previous office experience or special skills (computers, typing, languages, etc.)?
____________________________________________________________________________
D.
Please list any New York City Bar programs that you have participated in (i.e. Constitutional Rights
Symposium, Negotiation Workshop/Competition, etc.)
_____________________________________________________________________________
E.
Please describe briefly why you would like to participate in the Thurgood Marshall Summer Law
Internship this summer, and how you think participating in the internship program will affect you.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
F.
How did you find out about the Thurgood Marshall Summer Law Internship Program?
 School/Teacher
 Other Program (please list):
___________________________
 Website/Facebook/Twitter
No ____________
Were you nominated to this program? If so, please provide the name and phone number of who nominated you.
_____________________________________________________________________________
I am aware that if I am hired through this program, I will be required to participate in all internship activities that
do not interfere with my job. INTERNSHIP PROGRAMS ARE IN THE EVENING.
STUDENT SIGNATURE: _____________________________________________ DATE: _________
2016 THURGOOD MARSHALL SUMMER LAW INTERNSHIP PROGRAM
CONSENT FORM
This form is to certify that the undersigned is a willing participant in the Thurgood Marshall Summer Law Internship
Program at the New York City Bar Association and that the participant has the consent of his or her parent or legal
guardian if the participant is less than 18 years of age. By signing this form, the participant verifies that he or she has read
and understands the following requirements of the program:
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-
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All interns will be required to work in the manner prescribed by the administrators of the Thurgood Marshall
Program. Students will arrive at work and events on time. They will treat their employers with the utmost respect
and any problems that arise on or off the job will immediately be brought to the attention of the Program
Director.
In conjunction with their work experience, all interns will attend a series of evening events to be held at
various locations throughout New York City. These events will begin with an opening reception at the end of
June and conclude with a closing ceremony in August 2016. Specific dates will be provided as they become
available. Interns will be responsible for their own transportation to and from these events and will be expected
to arrive promptly and be dressed in professional attire.
All interns must be able to work legally within the United States. It is the intern’s duty to provide any
forms of identification or employment eligibility documentation his or her employer may request.
Neither the Thurgood Marshall Program nor the New York City Bar will act as chaperone for any student to or
from work; however, all evening events will be administered by a member of the Thurgood Marshall Program
staff.
I _________________________ (name of intern or parent/guardian if intern is under 18) have read and fully
understand the above requirements of the New York City Bar Association Thurgood Marshall Summer Law
Internship Program. By signing this form, I consent to _________________________ (name of intern), who is
____ (age of intern) years of age, participating as a student intern working under the above parameters.
_______________________________ _______________________________
Student Signature
Parent/Guardian Signature
(Required only if student is under 18)
_______________________________ _______________________________
Date
Date
Please return this form with your application before Friday, March 18th to:
Monica Parks
Diversity Pipeline Initiatives
New York City Bar Association
42 West 44th Street
New York, NY 10036
Phone: (212) 382-6772
Fax: (212) 869-2145
Email: [email protected]