Equal Justice Works

2010 Equal Justice Works Fellowships
Certification by Host Organization


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 other standard fringe benefits to the candidate if a Fellowship is awarded. The benefits that we currently provide and that we expect to provide to the candidate during his or her Fellowship are set forth on the attached Exhibit A. However, we reserve the right to amend or terminate any of our benefit plans at any time in our sole discretion. We understand that the cost of benefits to be provided to the candidate is not covered by Equal Justice Works. We have informed the candidate of the date when the coverage will begin, the percentage of the costs that will be covered by the Host Organization and the percentage that will be payable by the Fellow.
  • The position would not exist without the Fellowship program.
  • The Fellow will be paid a gross salary of $___________ . This salary level is commensurate to what an attorney at the Host Organization with similar experience and/or responsibility would receive. The Host Organization agrees that it will be solely responsible to pay any portion of the Fellow's salary that exceeds $39,000. If staff-wide salary adjustments are made prior to or during the Fellowship term, we will apply the same adjustment 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 Executive Director: __________________________
Signature of Executive Director: __________________________
Date: __________________________
     
Name of Candidate: __________________________
Signature of Candidate: __________________________
Date: __________________________

By signing this Form, the candidate and Host Organization certify that they have discussed and agreed upon the salary and benefits package referenced above. The candidate and Host Organization must agree upon these terms prior to submitting an application. Retain a copy for your records.


EXHIBIT A

Instructions: Please attach a benefits summary sheet or list of benefits to be provided to the candidate