Form JD-ES-318 "Judicial Branch Experiential Learning Programs - (Jbelp) Application for Intern Service" - Connecticut

What Is Form JD-ES-318?

This is a legal form that was released by the Connecticut Superior Court - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2015;
  • The latest edition provided by the Connecticut Superior Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form JD-ES-318 by clicking the link below or browse more documents and templates provided by the Connecticut Superior Court.

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Download Form JD-ES-318 "Judicial Branch Experiential Learning Programs - (Jbelp) Application for Intern Service" - Connecticut

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STATE OF CONNECTICUT
JUDICIAL BRANCH EXPERIENTIAL LEARNING PROGRAMS -
SUPERIOR COURT
(JBELP) APPLICATION FOR INTERN SERVICE
JUDICIAL BRANCH
JD-ES-318 Rev. 12-15
www.jud.ct.gov
Instructions:
ADA NOTICE
1. Complete Page 1 of this form, and send it, along with your resume and a
cover letter, by mail
to:
Judicial Branch External Affairs Division, Experiential
The Judicial Branch of the State of Connecticut
Learning Programs,Two Riverview Square, 99 East River Drive, Room 701,
complies with the Americans with Disabilities Act
East Hartford, CT 06108 OR by e-mail to:
external.affairs@jud.ct.gov
(ADA). If you need a reasonable accommodation in
accordance with the ADA, contact a court clerk or an
2. Fill out Sections A. and B. on page 2, and have a school official or faculty
ADA contact person listed at www.jud.ct.gov/ADA.
member complete Section C. of that page and return it to the Judicial Branch.
I. General Information
A. Personal Information
Name (Last, first, middle initial)
Date of birth
Home address (Number, street, city, state, and zip code)
Telephone number (Cell)
E-mail address
Telephone number (Home)
Emergency contact name
Emergency contact telephone number
Languages (List any languages that you speak fluently)
B. School Information
Name of school
Campus address
Department
Referring professor
Telephone number and extension
Major
Grade point average
Semester
Fall
Spring
Summer
Graduation date
Current education level
Sophomore
Junior
Senior
Post-graduate
C. Availability
Please list the days and times you are available to work as an intern. Please be aware that you must work at least ten (10) hours per week
and at least five (5) hours per day to take part in the Judicial Branch Experiential Learning Programs.
Day
Times Available
Monday
to
Tuesday
to
Wednesday
to
Thursday
to
Friday
to
Please list the number of hours that you are required to intern to get credit from your school, if applicable:
Page 1 of 2
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STATE OF CONNECTICUT
JUDICIAL BRANCH EXPERIENTIAL LEARNING PROGRAMS -
SUPERIOR COURT
(JBELP) APPLICATION FOR INTERN SERVICE
JUDICIAL BRANCH
JD-ES-318 Rev. 12-15
www.jud.ct.gov
Instructions:
ADA NOTICE
1. Complete Page 1 of this form, and send it, along with your resume and a
cover letter, by mail
to:
Judicial Branch External Affairs Division, Experiential
The Judicial Branch of the State of Connecticut
Learning Programs,Two Riverview Square, 99 East River Drive, Room 701,
complies with the Americans with Disabilities Act
East Hartford, CT 06108 OR by e-mail to:
external.affairs@jud.ct.gov
(ADA). If you need a reasonable accommodation in
accordance with the ADA, contact a court clerk or an
2. Fill out Sections A. and B. on page 2, and have a school official or faculty
ADA contact person listed at www.jud.ct.gov/ADA.
member complete Section C. of that page and return it to the Judicial Branch.
I. General Information
A. Personal Information
Name (Last, first, middle initial)
Date of birth
Home address (Number, street, city, state, and zip code)
Telephone number (Cell)
E-mail address
Telephone number (Home)
Emergency contact name
Emergency contact telephone number
Languages (List any languages that you speak fluently)
B. School Information
Name of school
Campus address
Department
Referring professor
Telephone number and extension
Major
Grade point average
Semester
Fall
Spring
Summer
Graduation date
Current education level
Sophomore
Junior
Senior
Post-graduate
C. Availability
Please list the days and times you are available to work as an intern. Please be aware that you must work at least ten (10) hours per week
and at least five (5) hours per day to take part in the Judicial Branch Experiential Learning Programs.
Day
Times Available
Monday
to
Tuesday
to
Wednesday
to
Thursday
to
Friday
to
Please list the number of hours that you are required to intern to get credit from your school, if applicable:
Page 1 of 2
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II. Judicial Branch Internship Verification
Please note that Section C. must be completed and returned to the Judicial Branch by a school official or faculty member.
A. Student Information
Name (Last, first, middle initial)
Name of school
Department
Will you be asking to get school credit for taking part in an internship with the Judicial Branch?
Yes
No
B. Release of Information
I authorize my school to release the educational information requested in Section C. below to the Judicial Branch to verify my eligibility to
take part in the Judicial Branch Experiential Learning Programs.
Print name
Date
Signature
Instructions to School Official or Faculty Member:
1. The student listed above is applying for an internship with the Connecticut Judicial Branch. Please complete Section C. below, so the
Judicial Branch can verify that the student is eligible to take part in an internship. Please be sure to include any special requirements that
the student must complete during the internship, if any.
2. Return the completed form by mail to: Judicial Branch External Affairs Division, Experiential Learning Programs, Two Riverview Square,
99 East River Drive, 7th Floor, East Hartford, CT 06108. OR by e-mail to:
external.affairs@jud.ct.gov
C. School Official/Faculty Verification
1. Is the student listed above in good standing at your school?
Yes
No
2. Has the student listed above been approved to take part in an internship with the Judicial Branch through your school?
Yes
No
3. Will the student listed above get school credit for successfully completing the internship program with the Judicial Branch?
Yes
No
4. If the student will get school credit, how many hours must the student work during the semester to get school credit?
Please list any special requirements that the student must complete for this internship.
Please sign below to verify the information in Section II.C. of this form, and include your contact information.
Print name
Signature
Title
E-mail address
Office phone number
School
Address
City, State, Zip Code
Page 2 of 2
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