APPLICATION FOR CRIMINAL JUSTICE FIELDWORK & LAW REFORM
Application is due by Wednesday, April 19

Date submitted: 

Current email address:

Name:

Address:

Phone: (H)				(Cell)				(W)

Student Status: ___Full Time   ____Part Time
Student year you will be in Fall 2006: _____
Taken one or more externships or clinics?       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. You do not need to submit a letter of reference or ask the reference to contact Professor Cunningham.

Brief Statement Explaining Why You Want to Take This Course:

Weekly Schedule.
Please submit your total weekly schedule for next fall, specifying other courses you will be taking as well as other time commitments such as work..

	MONDAY	TUES	WED	THURS	FRIDAY	
9:00		CJ Fieldwork			CJ Fieldwork		
9:30		CJ Fieldwork		CJ Fieldwork		
10:00			CJ Fieldwork		CJ Fieldwork		
10:30		CJ Fieldwork		CJ Fieldwork		
11:00						
11:30						
12:00						
12:30						
1:00						
1:30						
2:00						
2:30						
3:00						
3:30						
4:00						
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 (an informal transcript printed from GoSolar is acceptable)
A sample of legal writing (preferably 5-10 pages)