FYSIP Judicial Travel Fund

Required fields are marked with an asterisk (*)

CONTACT INFORMATION

First Name:*

Last Name:*

Student ID:*

Address 1:*

Address 2:

City:*

State:*

Zip Code:*

Email Address:*

Confirm Email Address:*

COURT PLACEMENT

What is your court placement:

Your commute is between which cities/towns?

FROM:*

TO:*

Number of miles in daily commute - one way?:*

Search Google Maps for Mileage between cities.

SECOND COURT PLACEMENT (if applicable)

What is your court placement:

Your commute is between which cities/towns?

FROM:

TO:

Number of miles in daily commute - one way?

Method of Transportation & Cost

What will be your transportation to your internship?
Car		Parking Weekly Cost:
Commuter Rail	Zone/Interzone?	Weekly Cost?
Other	Mode of Transportation?	Weekly Cost?

Additional Comments (optional):

By checking this box, I confirm and acknowledge that I am required to return the amount of the FYSIP - Judicial Travel Stipend 2019 if I do not enroll as a full-time student at Suffolk University Law School for the Fall 2019 semester.

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FYSIP Judicial Travel Fund

Your commute is between which cities/towns?

Your commute is between which cities/towns?

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