NOTIFICATION OF INCOMING/SEPARATING LAW CLERK AND INTERN 

A member of Chambers Staff should complete this form and forward, via email, to Human Resources as soon as a job offer has been accepted. 
JUDGE: 
EMPLOYEE NAME:      
STREET ADDRESS & APT. NUMBER:      
CITY, STATE, COUNTRY, ZIP CODE:      
AREA CODE & PHONE NUMBER:      
E-MAIL ADDRESS:      
     
THE INDIVIDUAL NOTED ABOVE HAS ACCEPTED THE POSITION OF:

LAW CLERK
Attach: Resume and/or application.
Date Job Offer was accepted: 
Entrance on Duty Date:L
Elbow Law Clerk Status (check one): 

Name of Separating Law Clerk:      
Separation Date:      	            (Two week overlap only for chambers with one law clerk)
New Address (check if changing after separation and write below):
     

LEGAL INTERN
Attach: Resume 
Date Internship Begins:       Date Internship Ends:      

RECEIVING:  Academic Credit            Stipend            		Neither      

Remarks:      

SUBMITTED BY (PRINT NAME):      

DATE: