Law School Box No.:

Current Address, Phone, & E-mail: (Please list all email accounts)

Permanent Address & Phone:

I am currently in my year of law school.

Citizenship status:

Are you presently enrolled in a law clinic? Yes No
If so, which one?
Are you presently working or planning to accept private employment during the semester?
Yes No

Please explain:

Because of rules governing actual or potential conflicts of interest, a student's outside legal employment or other law-related activities could disqualify the student for some judicial placements. Please see Assistant Dean Glory McLaughlin.

Preferences for Office Location. Please see attached list for tentative placements. Indicate in the appropriate spaces below (1) whether you would accept a placement in Birmingham, Montgomery and/or Tuscaloosa; and (2) the judges and/or public interest organizations with whom you would prefer to be placed. Students may apply for both judicial and public interest placements by choosing from the drop down menu below.

If you have questions about whether to apply given this restriction, please speak with Assistant Dean Glory McLaughlin.

I will accept a placement in

Preferred Placement







Are you seeking an externship at a placement not listed on this application form? Yes No

Name of organization:

Have you already made arrangements to work with this organization? Yes No

If yes, please provide contact information for the supervising attorney:

You will also need to register for the course. Then, sign up for an interview with Assistant Dean Glory McLaughlin or Mr. Randy Quarles (co-director). After interviews, they will make the contacts to confirm a place for you in the spring. You are not committed until after the interview when they will seek placements for you.”

Please upload your resume in a common format (Word, PDF, etc.).