Site Information Form 1. Please provide the name and address of your organization (“organization” includes judges and agencies), including your telephone number, fax number and email address if appropriate, and name of site supervisor: Please provide the name and title of the attorney in your organization who will serve as the on-site extern supervisor:Address Mailing Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone NumberFax NumberEmail Address2. Please describe briefly the nature of the work performed by your organization:3. Please describe the types of projects you anticipate assigning to student externs:4. Please indicate any preferences or requirements as to course work you would like a student to have completed (e.g. Administrative Law, Environmental Law, etc.) and whether a particular skill or experience would be helpful to a student working with your organization. In addition, please indicate whether a student extern working with you will need to be certified under the State Bar Student Practice Rule.5. Has your organization worked in the past with student externs and/ or law clerks during the academic year? During the semester?6. Does your organization have a system in place for supervising student externs/law clerks and providing feedback? If so, please briefly describe that system.7. How many student externs would you like to work with during the semester? (Please note that each extern will receive three units of pass/fail academic credit for a commitment of 10 hours of work per week over the course of a 14 week period)Thank you for your time, and participation in the Externship Program at Carolina Law!Prepared by:* First Last Date Date Format: MM slash DD slash YYYY CAPTCHA