ATJ Tech Fellows Program-Host Organization Application
***** WE ARE NO LONGER ACCEPTING APPLICATIONS FOR THE 2017 SUMMER COHORT*******
1. Host Organization Name *
Your answer
2. Host Organization Mailing Address *
Your answer
3. Host Organization Point of Contact *
Your answer
4. Point of Contact Email Address *
Your answer
5. Point of Contact Telephone Number *
Your answer
6. Description of Technology/Innovation Project? *
Your answer
7. Name of Supervising Attorney/Project Manager who Fellow Reports to? If Same As Question 3, Leave Blank.
Your answer
8. Supervising Attorney/Project Manager Email? If Same as Question 4, Leave Blank.
Your answer
9. Supervising Attorney/Project Manager Telephone Number? If Same as Question 5, Leave Blank.
Your answer
10. Full Description of the Fellows Duties *
Your answer
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