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Organization or firm name:
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Address 1:
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Address 2:
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City:
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State: Zip:
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Country:
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Telephone:
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Fax:
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Web Site:
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Director of Agency:
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Contact Person
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First Name:
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Last Name:
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Telephone:
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E-Mail:
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Supervisor (if different from contact person):
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First Name:
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Last Name:
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Telephone:
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E-Mail:
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Program mission (or firm specialization)(one sentence statement):
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Student project(s) (Please describe generally what students will be doing. You can either be general or describe a specific current project. You can list as many projects
as you wish. We are especially interested in projects appropriate for first-year students.)
Project 1
Appropriate for any student, including first-year students.:
Project 2
Second and Third-Year student only. (you may indicate if second or third-year student is mandatory or only preferred):
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Time preference (Please describe any minimum time commitment expected in hours per week, hours per semester, or hours per project; or indicate the amount is flexible
depending on the student's availability. Ten hours per week is the upper limit though not many students can commit to this much time. Typical placement models are 3 to 5 hours per week on
site or 20 hours of flexible time during a semester.):
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Special requirements, if any (Please list any special requirements you might have, such as "2nd or 3rd year only," or "Must speak Spanish," or "Must have some special
skill.):
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Training. (Describe any special training, dates and sign-up process, if applicable. Most placements will not have special training, but training will be on-going through
the supervision):
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Number of students you are willing to supervise:
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Please note any additional comments:
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Submit On-line or Return to:
Associate Dean Carol Spruill or Coordinator Kim Burrucker, Duke Law School, Box 90360, Durham, NC 27708-0360
Other contact information: FAX 613-9001; Spruill is at (919) 613-7130, Burrucker is at (919) 613-7008
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