Thank you for participating in the Summer Public Interest Funding program and employing an HLS student for the upcoming summer. All SPIF
recipients must submit a copy of this Employer Response Form from each employer in order to receive funding. Please return this form via fax,
email or mail to the SPIF Office by April 2, 2010. If the direct supervisor for the student has not yet been assigned, a hiring official from the
organization may complete this form now. Upon assignment, the direct supervisor should submit a new, updated form.
HLS Student Financial Services, ATTN: SPIF
1563 Massachusetts Ave.; Pound Hall 324, Cambridge, MA 02138
TEL: (617) 495-0643 FAX: (978) 367-3821 firstname.lastname@example.org
Employer Response Form
Name of Placement Organization:
Address of Organization:
Date Placement will begin (mm/dd/yy):
Date Placement will end (mm/dd/yy):
Number of hours student is expected to work each week:
Will you provide monetary compensation to this student for their work?
If yes, how much?
Please provide a brief description of the student’s job responsibilities:
Under HLS guidelines, all students are required to complete at least 40 hours of pro bono legal work. Summer public interest placements meet this
requirement. Students are aware of the terms and conditions of SPIF and the pro bono project; however, in order to receive funding and pro bono
credit their supervisor must also review and agree to the following terms and conditions:
The Supervisor shall be responsible for training and continued oversight of the Student during his/her work on the project. The Supervisor
should be cognizant of potential conflicts of interest.
The Supervisor shall conduct an exit interview