Name
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First Name
Last Name
Phone
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Email
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Address
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Do you consent to having your supervising attorney with the Guilford County Public Defender speak to professionals outside our office, such as your employer, university officials, or representatives of the State Bar about your intern/extern experience?
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Emergency Contact
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First Name
Last Name
Relationship to Emergency Contact
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Emergency Contact Phone
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Emergency Contact Address
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How did you learn about this internship/externship opportunity?
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Have you ever worked/volunteered with our office before?
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If yes, when?
Previous supervising attorney (if applicable)
Do you have any business, family, or personal obligations (not including time availability) that could conflict with your working with our office?
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Are you or, to the best of your knowledge, has any immediate family member been a client of our office during the past five years?
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Have you or, to the best of your knowledge, has any immediate family member been a victim of a crime in the past five years in Guilford County where a police report has been filed?
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If you answered yes to any of the above three questions, please explain below.
Are you applying for an internship/externship to fulfill a requirement of any program? This includes programs for an educational degree.
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If you answered yes to the previous question, please provide a written statement from the program detailing all requirements for both you and for the Guilford County Public Defender. If you are an Elon Law student, please attach the syllabus for your residency program.
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Have you ever been convicted of a felony or misdemeanor? You do not have to report arrests or convictions which were annulled, sealed, or expunged.
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If you answered yes to the previous question, please explain, listing the date and charge(s).
Please enter your desired beginning and end dates for your internship/externship.
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Start date
MM
DD
YYYY
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End date
MM
DD
YYYY
Approximately how many hours per week are you available? If you are available full-time, please write "full-time."
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Is there anything else we need to know about your availability?
Please attach your resume and a separate written statement or cover letter that explains what you hope to accomplish, gain, or learn from your experience with our office. What do you hope to contribute to the Guilford County Public Defender's Office? Please limit your statement/cover letter to one page, 12 pt. font, single spaced.
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Office preference
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I am completing this application for the
