Pro Bono Hours - Individual Submission Form

Name (First & Last):

Email address:

Class year:

1L

2L

3L

Class of:

General description of pro bono work:

Description of pro bono work, identifying how it was (a) law-related and (b) in the public interest:

Number of hours:

Supervising Attorney/Faculty Member:

Supervisor Telephone Number:

Supervisor Email Address:

Date work began:

Month

Day

Year

Date of completion:

Month

Day

Year

I certify that I have not received, nor will I receive in the future, any compensation or class credit for the above-described pro bono work.

Please type full name.

Today's date

Month

Day

Year