CVJC Notice of Intent to Apply Form

Equal Justice Works Crime Victims Justice Corps Fellowship Program

Notice of Intent to Apply

By submitting this form, we indicate our intention to apply to be a host organization for the Equal Justice Works Crime Victims Justice Corps program.

Name of Organization*

Executive Director's Name*

Executive Director's Email*

Number of TVPA-Funded Fellows Proposed (Serving Survivors of Trafficking)*

Number of VOCA-Funded Fellows Proposed (Serving Other Crime Victims)*

Civil Legal Issue Topic Area*

Additional Civil Legal Issue Topic Area(s) (If more than one)

Number of Summer Law Students Proposed*