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Summer Law Internship Program
Fill out the form carefully and entirely for registration.
Student Full Name
*
First Name
Middle Name or Initial
Last Name
Student Preferred Name
*
First Name
Last Name
Birth Date
*
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Gender
*
Please Select
Male
Female
N/A
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
Please use an email you will have access to throughout the summer and will check regularly.
Phone Number
*
Mobile Number Preferred
High School Attending?
*
Participants must live in Shelby County or must attend high school in Shelby County to participate.
Ethnicity
*
Please Select
African American/Black
Latino/Hispanic
Asian/Asian American
Native American/American Indian/Alaskan Native
Pacific Islander/Native Hawaiian
Multiple Ethnicity/Mixed Race
Have you previously applied to SLIP?
*
Yes
No
Current Grade Level at the time of the application. (Only 2025/2026 10th, 11th, and 12th graders are eligible for the program.)
*
9th
10th
11th
Current GPA
*
Based on your last completed semester of school. Feel free to notate weighted or unweighted.
Do you have reliable transportation?
*
Yes
No
If yes, please indicate who will be providing transportation? (parent, guardian, other student, self) If no, please indicate how you will find transportation.
*
Do you have any known activities that would interfere with your participation in the Summer Law Intern Program? (SLIP commitment times are during work day hours in the month of June.)
*
Yes
No
If yes, please specify the activity and the dates you will be involved:
Do you have any known activities that would interfere with your participation in the SLIP Orientation, Friday, May 30 or Closing/Graduation, Friday, July 11? (Commitment times will be 2 to 3 hours lunchtime.)
*
Yes
No
If yes, please specify the activity and the dates that will conflict:
Parent/Guardian Name #1:
*
First Name
Last Name
Parent/Guardian #1 Relation:
*
Mother
Father
Grandmother
Grandfather
Other
Parent/Guardian #1 Phone Number:
*
Please enter a valid phone number.
Parent/Guardian #1 Email:
*
example@example.com
Parent/Guardian Name #2:
First Name
Last Name
Parent/Guardian #2 Relation:
Mother
Father
Grandmother
Grandfather
Other
Parent/Guardian #2 Phone Number:
Please enter a valid phone number.
Parent/Guardian #2 Email:
example@example.com
Student's Employment History
Present or Last Employer (if applicable)
Employment Date - Start
-
Month
-
Day
Year
Date
Employment Date - End
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Month
-
Day
Year
Date
Supervisor
Job Description/Duties
School/Community Activities
What SCHOOL-related activities are you currently involved with?
*
What COMMUNITY-related activities are you currently involved with?
*
Personal Essay
Please submit a personal essay of 500 words or less on why you would like to participate in SLIP.
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Letter of Recommendation
Please submit a letter of recommendation from a teacher, mentor, counselor, or community leader
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Signature of Applicant
*
Today's Date
*
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Date
Signature of Parent/Guardian who approves this application
*
Today's Date
*
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