APPLICATION FOR CRIMINAL JUSTICE CLINIC
Due by Wednesday, April 21
Date submitted: 

Current email address:

Name:

Address:

Phone: (H)				(Cell)				(W)

Student Status: ___Full Time   ____Part Time

Student year you will be in Fall 2004: _____

Taken the Tax Clinic?      Yes       No   If yes, specify semester(s):               

Taken one or more externships?       Yes       No    If yes, specify the semester(s), placement(s), and placement supervisor:

Please list two references, preferably familiar with your legal work.  Provide name, title, address, direct phone number, and email address.  Unless indicated in your resume, explain how each reference knows you and your work.

Brief Statement Explaining Why You Want to Take This Clinic:

Proposed Weekly Schedule.
To receive course credit, you must spend a minimum of 12 hours per week doing clinic work.  These 12 hours include the weekly clinic meeting (Monday 2:30 - 4:30).  You must also spend at least 6 hours per week at the clinic office in regularly scheduled office hours that you share with your partner.  Each block of office hours should last at least 3 hours and you must have office hours scheduled for at least two, non-consecutive days.  Preferred days for office hours are Monday and Wednesday.
Please indicate your proposed weekly schedule, listing preferred office hours, names of all other courses you plan to take, and any other time commitments, such as work.  Given the likely need to participate in court hearings and other unscheduled activities, preference may be given to applicants who indicate maximum flexibility in their schedule.
	MONDAY	TUES	WED	THURS	FRIDAY	
9:00						
9:30						
10:00							
10:30						
11:00						
11:30						
12:00						
12:30						
1:00						
1:30						
2:00						
2:30	Clinic					
3:00	Meeting					
3:30	Clinic 					
4:00	Meeting					
4:30						

This form can be submitted by email to cdcunningham@gsu.edu; however, your application will not be complete until you have also submitted to Prof.  Cunningham:
A current resume
A copy of your law school transcript showing course grades and GPA
A sample of legal writing (preferably 5-10 pages)