RHODE ISLAND BAR FOUNDATION

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1 T maintam the Rl Law Center _ Tfster services t the legal prfessin and the cmmunity RHODE ISLAND BAR FOUNDATION Jhn A. Tarantin President Michael A. St. Pierre Vice President Allan M. Shine Secretary James A. Jacksn Treasurer Helen Desmnd McDnald Executive Directr Dear Schlarship Applicant, December 2009 Enclsed yu will find an applicatin fr the Thmas F. Black, Jr. Memrial Schlarship f the Rhde Island Bar Fundatin fr academic year The schlarship is a ne year, nn-renewable award, fr full-time students wh are Rhde Island residents wh will be entering their first year flaw schl in September, The bjective fthe Bar Fundatin's Schlarship Prgram is t supprt high legal practice standards by prviding financial assistance t Rhde Island residents wh shw prmise that they will becme utstanding lawyers wh will adhere t such standards and wh will need such assistance in rder t study law at quality law schls. Schlarship awards shall be exclusively fr tuitin and related expenses fr persns wh enrll as full-time students in prgrams leading t the award f the r J.D. degree ffered by law schls lcated in ne fthe United States r District f Clumbia and accredited by the American Bar Assciatin. Each Schlarship award will be made n the basis f demnstrated financial need, superir academic perfrmance, cmmunity and public service, and demnstrated cntacts with and cmmitment t the State frhde Island. The Schlarship Cmmittee seeks applicatins frm candidates withut regard t race, clr, religin, cuntry f ancestral rigin, handicap, age, sex, r sexual rientatin. Fr academic year , tw schlarships in the amunt f $15, each will be awarded. Please cmplete and return the applicatin frm, and a persnal statement, alng with the infrmatin required belw t the Rhde Island Bar Fundatin, 115 Cedar, Prvidence, RI s as t arrive by March 19,2010. The persnal statement shuld cnvey smething abut yur backgrund, yur persnal r family situatin, why yu believe yu wuld be a wrthy recipient fthe schlarship r any ther infrmatin yu feel wuld be helpful t the Fundatin in cnsidering yur applicatin. Als arrange t have the Registrar f yur cllege r university frward a cpy fyur academic transcript t the Bar Fundatin. 115 CEDAR STREET. PROVIDENCE. RHODE ISLAND FAX INFO@RIBAR.COM

2 Tw letters f recmmendatin are required frm persns wh knw yu. One f the letters shuld be frm a schl fficial familiar with yur academic recrd. Identify the persns writing these letters n the applicatin frm and request that they frward their letters directly t the Rhde Island Bar Fundatin. We recmmend that yu prvide them with addressed, stamped envelpes fr that purpse. Als, in rder t cmplete yur applicatin, yu must frward t us a cpy f the SAR reprt frm the Free Applicatin fr Federal Student Aid (FAFSA). Please keep in mind that applicants have the burden fdemnstrating their financial need t ur Schlarship Cmmittee. A detailed explanatin f the extent t which yu can btain family financial assistance in yur first year in law schl shuld be submitted with this applicatin, including current Federal Tax returns fr yurself and yur parents, alng with any ther infrmatin r dcuments yu believe pertinent. The Cmmittee reserves the right t nt cnsider incmplete applicatins. Ifyu have any questins, please call the Rhde Island Bar Fundatin ffice at (401) r gcaldwell@ribar.cm. The Rhde Island Bar Fundatin welcmes yur schlarship applicatin and extends best wishes as yu plan t enter law schl. Sincerely Yurs, _:~c~~ Ginny Caldwell Prgram Directr

3 APPLICATION FOR THE THOMAS F. BLACK, JR. MEMORIAL SCHOLARSHIP OF THE RHODE ISLAND BAR FOUNDATION Full (Last) (First) (Middle) (Please be sure that this name is the same n all applicatins, LSDAS and FAFSA materials) Scial Security Number Date f Birth Place f Birth Citizenship Date yur RHODE ISLAND Residency began 2. Present Mailing Address State & Zip Cde Telephne 3. Permanent Mailing Address (Address where yu can be cntacted at any time) After what date shuld we use this address? State & Zip Cde Telephne 4. List name and lcatin fhigh schls attended and year fgraduatin. 5. List all clleges, universities, graduate and prfessinal schls attended n a full-time basis. Dates f Rank and S C h 001 Attendance Degree Date M ajr Cl ass S lze 6. List schlastic r academic hnrs including schlarships, fellwships, prizes, hnr scieties, etc.

4 , 7. List and briefly describe three nn-academic activities which have been imprtant t yu. 8. List Law Schls t which yu have applied as a full-time student: 9. Have yu cmpleted a FAFSA r ther Financial Aid Frm: (A cpy f the cmpleted reprt is required) Annual Incme fr yu and yur parents (please attach cpies f yurs and yur parents' 2009 tax returns) ll. List names and addresses fyur parents: Father State/Zip Cde Telephne Mther State/Zip Cde Telephne 12. Were yu emplyed during the academic year as an undergraduate? Psitins held N. fhurs per week: Fr. Sph, Yr. Jr. Yr. Sr. Yr. 13. State yur ast ur psltlons 0 ffull-time. emplyment. Dates Emlver Psitin Reasn fr Leaving

5 14. Has yur academic career been interrupted fr ne r mre terms? 15. In an academic setting, have yu been subject t disciplinary sanctins, r are charges pending? 16. Have yu been cnvicted* f a felny? 17. Have yu been cnvicted* fa misdemeanr (except drunkennes, simple assault, speeding, minr traffic vilatins, affray, r disturbing the peace) within the last five years? 18. Are any charges pending which, if yu were t be cnvicted, wuld require yur answer t either f the tw previus questins t be "yes"? Ifany answers are "yes", please give details n reverse side f this sheet. withut the cnvictin later being vacated YES NO 19. List all dates yu have taken r will take the LSAT: 20. Date(s) registered with LSDAS: 21. Have yu ever applied fr admissin t a Law Schl in a prir year r ever attended Law Schl? If s, please explain: 22. List names f the tw peple submitting recmmendatins: State/Zip Cde Telephne State/Zip Cde Telephne NOTE: This applicatin and supprting material must be received by March 19,2010. After the due date, please infrm the Bar Fundatin f any supplemental infrmatin yu receive frm Law Schls regarding acceptance and financial aid packages awarded t yu. Send materials t: Rhde Island Bar Fundatin, 115 Cedar, Prvidence, RI Telephne: (401) : gcaldwell@ribar.cm If yu need additinal space, please attach. I hereby certify that the infrmatin I have prvided n this applicatin frm and in any attached materials is true and cmplete. Signature: Date Reminder -- the fllwing items are needed t cmplete yur applicatin:.:. Persnal Statement.:. Official Transcripts.:. SAR reprt frm FAFSA.:. Cpies f yurs and yur parents' tax returns.:. Tw letters f recmmendatin

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