Federal Work-study Program Notice of Intent

Summer 2024

First Name

Last Name

Touro Id

Class Year 1 2 3 4 5

Division FTD PTD PTE FLEX

Address

Address 2

Address 3

Country AFGHANISTAN ALBANIA ALGERIA ANDORRA ANGOLA ANGUILLA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA ASCENSION AUSTRALIA AUSTRIA AZERBAIJAN AZORES BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA-HERZEGOVINA BOTSWANA BRAZIL BRITISH VIRGIN ISLANDS BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURMA BURUNDI CAMBODIA (KAMPUCHEA) CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA COLOMBIA COMOROS CONGO CORSICA COSTA RICA COTE D'IVOIRE (IVORY COAST) CRETE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR ENGLAND EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA KUWAIT KYRGYZSTAN LAOS LATVIA LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACEDONIA MADAGASCAR MADEIRA ISLANDS MALAWI MALAYSIA MALDIVES MALI MALTA MARTINIQUE MAURITANIA MAURITIUS MEXICO MOLDOVA MONACO MONGOLIA MONTENEGRO MONTSERRAT MOROCCO MOZAMBIQUE NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NORTH KOREA NORTHERN IRELAND NORWAY OMAN OTHER PAKISTAN PANAMA,REPUBLIC OF PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN ISLAND POLAND PORTUGAL QATAR REUNION ROMANIA RUSSIA RWANDA SAINT CHRISTOPHER (ST KITTS) SAINT HELENA SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADIN SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SCOTLAND SENEGAL SERBIA SEYCHELLES SIERRA LEONE SINGAPORE SLOVAK REPUBLIC SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA,REPUBLIC OF SOUTH KOREA SPAIN SRI LANKA SUDAN SURINAM SWAZILAND SWEDEN SWITZERLAND SYRIA TAIWAN TAJIKISTAN TANZANIA THAILAND TIMOR-LESTE TOGO TONGA TRINIDAD AND TOBAGO TRISTAN DA CUNHA TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES URUGUAY UNITED STATES UZBEKISTAN VANUATU VATICAN CITY VENEZUELA VIETNAM WALES WALLIS AND FUTUNA ISLANDS WEST AFRICA WEST INDIES ASSOCIATE STATES WESTERN SAMOA YEMEN YUGOSLAVIA ZAIRE,REPUBLIC OF ZAMBIA ZIMBABWE

City

State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zip

Home Phone

Cell Phone

Email

Confirm Email

Job Status

Firm Offer

Pending Offer

Require Assistance from CSO

Actual/Anticipated Work Site

Location of Work Site

Intended Period of Employment

Projected Hours Per Week

To

(30 hours/week maximum)

Notes/Comments

I certify that I intend to continue my studies at Touro Law Center in Fall 2024. I understand that my acceptance of this FWSP award precludes me from applying to transfer to another law school and that, if I do, my violation of the terms of this agreement will be considered a violation of the Law Center’s Code of Conduct and may be reported to the relevant authorities in any state where I seek admission to the bar.

I certify that I am in good academic standing (2.333 GPA), as of the end of the Fall 2023 semester.

I certify that I understand Federal Work Study Program (FWSP) funding is awarded on a first-come, first-served basis.

I certify that I understand in order to be considered for Federal Work Study Program (FWSP) funding, I must also complete the 2024-2025 Free Application for Federal Student Aid (FAFSA). Income data on the FAFSA will be retrieved and verified by the IRS. Discrepant information will cause significant delays in processing. When ready to complete the FAFSA go to: https://studentaid.gov. The FAFSA school code is: 010142.

I certify that in order to maintain my position on the FWSP funding roster, I must have a firm offer from a not-for-profit organization or a government agency by no later than May 1, 2024.

Electronic Signature - Terms and Conditions

I agree, and it is my intent, to sign this record and affirmation by utilizing the authentication and click procedure and by electronically submitting this record to Touro Law Center. I understand that my signing and submitting this record in this fashion is the legal equivalent of having placed my handwritten signature on the submitted record and this affirmation. I understand and agree that by electronically signing and submitting this record in this fashion I am affirming to the truth of the information contained therein.