As Executive Director of ________________________________________ (Host Organization), I certify that:

• We, the Host Organization, are committed to hiring the applicant as an attorney to work on the proposed project if the applicant is awarded a Fellowship.
• We, the Host Organization, will provide health insurance and standard fringe benefits if a Fellowship is awarded and understand that such cost is not covered by Equal Justice Works. We have discussed with the candidate when coverage will begin and what percentage of the costs will be covered by the organization.
• The position would not exist without the Fellowship program.
• The salary that will be provided to the Fellow is $_______________. This salary is based on what a similarly-experienced attorney would receive at the organization. If this salary exceeds $39,000, we, the Host Organization, will pay the difference. If staff-wide salary adjustments are made prior to or during the Fellowship term, we will apply the same standard to the Fellow's salary and notify Equal Justice Works. 
• ____________________________________________ (Host Organization) has been granted 501(c)(3) status by the Internal Revenue Service.

Name of Candidate:      __________________________

Signature of Candidate: __________________________

Date: __________________________