Application for Lawyers & Firms Employing a Fellow

Contact Information

Note: This form should be completed by the attorney at your firm who would be the primary supervisor of a Fellow (law clerk or associate attorney), if your firm is selected for the program.

ISBA Member #

Name *

Firm Name *

Street Address *

City *

State/Province *

ZIP/Postal Code *

Telephone Number *

E-mail Address *

ISBA maintains one email address for each member. Please use the email address that you wish to be used for all ISBA purposes

What is your position with your law firm? *

Law School Attended *

Are you registered on the Illinois ARDC Master Roll of Attorneys as active and in good standing? *

Yes

ARDC # *

Have you ever been suspended or disbarred from the practice of law in any state or jurisdiction? *

Yes

To the best of your knowledge, are you the subject of an open ethics inquiry or disciplinary action in any jurisdiction? *

Yes

Have you practiced law for five years or more? *

Yes

Other Practice Area

Do attorneys in your firm have other areas of practice?

Is your practice primarily

Litigation

Transactional

Both

Other

Please explain

Does your firm have an office in a rural county? If so, which one? *

To qualify for this program, a law firm must be located in an Illinois county considered “rural” for purposes of this program. This includes all Illinois counties except: Cook, Will, DuPage, Lake, Sangamon, Macon, St. Clair, Madison, Tazewell, Peoria, Champaign, McLean, Jackson, Jefferson, Winnebago, Rock Island Counties.

Is this your firm’s main office? If not, where is your firm’s main office located? *

Does your firm practice in other Illinois counties? If so, which ones? *

Firms located in the excluded counties listed above may be considered for the program on an ad hoc basis. If your firm does not have an office in a qualifying rural county, but you would like to be considered for the Fellowship Program, please explain how your practice qualifies as a rural practice or why it should otherwise be considered for this program:

Fellows in this program may be either law student clerks or licensed attorneys interested in becoming associates in a firm. Which of these would your firm be interested in hiring? *

Law student clerk

Associate attorney

Either

What kinds of tasks do you expect a Fellow under this program to perform? *

Do you anticipate that a Fellow placed with your firm would have the opportunity to perform pro bono work as defined in Rule 756(f)? *

View Rule 756(f) in a new browser window.

Yes

Do you have prior experience supervising non-lawyer personnel, law clerks and/or new lawyers in the practice of law? *

Yes

If so, please describe your experience

Will your Fellow have opportunities to go to any professional activities in the community with you, such as local bar association meetings or community events? If so, please give a general idea of possible activities

How did you learn about the ISBA Rural Practice Fellowship Program?

Why are you interested in hosting a Fellow under this program

What do you hope to achieve by participating in the program?

This program will include training for practitioners about topics related to the fellowship, such as the supervision of subordinates. Trainings will qualify for CLE credit and are expected to be via an online format. If your firm is chosen to participate in this program, do you (the supervisor) agree to participate in all required trainings, and do you agree to encourage your colleagues who will be overseeing the Fellow’s work to do the same? *

Yes

Practitioners participating in this program are required to have valid malpractice insurance coverage. Do you certify that you and your firm have valid malpractice insurance coverage and will maintain this coverage for the duration of the Rural Practice Fellowship? *

Yes

Are you an active member of the ISBA? *

Yes

Do you agree to maintain your active membership throughout the term of the Rural Practice Fellowship? *

Yes

Do you agree to become a member of the ISBA in order to participate in the Rural Practice Fellowship Program? *

Yes

Answer the following two questions only if your firm is interested in hiring a law clerk

Fellows in this program will be provided with a stipend to assist with living expenses during the program.

Would your firm be willing and able to provide any additional compensation to the law clerk during the term of the fellowship?

Yes

Approximately how many hours would you anticipate a law clerk Fellow would be able to work at your firm?

Agree to terms *

I understand that my firm is not guaranteed the placement of a summer clerk or permanent associate. I also understand that if accepted into the Rural Practice Fellowship Program, my firm is expected to use good faith efforts to make at least one offer to a summer clerk or a permanent associate. I also understand that offers to summer clerks should be completed by mid-March 2021, and to permanent associates by late-April 2021.

Yes

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