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ADLER POLLOCK & SHEEHAN DIVERSITY SCHOLARSHIP - page 5 / 6

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________________________________________________________________________

Name and addresses of your parents:

Father

Mother

Name

Name

Street

Street

City

City

State/Zip

State/Zip

Telephone

Telephone

E-mail

E-mail

Were you employed during your academic years as an undergraduate:  

Positions Held:  

No. of hours per week:  Fr. Yr.Soph. Yr.Jr.Yr.Sr.Yr.

State your last four positions of full-time employment:

Date

Employer

Position

Reason for Leaving

Has your academic career been interrupted for one or more terms:  Yes        No

In an academic setting, have you been subject to disciplinary               

 sanctions,  or are charges pending?                                                 Yes        No

Have you ever been convicted* of a felony?                                    Yes        No

Have you ever been convicted* of a misdemeanor (except

           drunkenness, simple assault, speeding, minor traffic violations,

           affray, or disturbing the peace) within the last five years?                 Yes        No

Are any charges pending which, if you were to be convicted,

           would require your answer to either of the previous two

           questions to be “yes”?               Yes        No

(If any answers are “yes”, please provide details):_____________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

*  Without conviction later being vacated

ESSAY

Please submit a one-page typed essay describing : a) your reasons for studying law and your plans and goals upon graduation from law school; b) your professional goals including how you intend to contribute to the community; c) your thoughts as to whether diversity is a journey or a destination.  

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