LAST: FIRST: M.I: Street: City Zip: Telephone number: Street:

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CHHSP Application APPLICATION REQUIREMENTS Candidates who have completed their freshmen or sophomore years of college are eligible to apply. Applicants must demonstrate leadership ability and active involvement in their schools and communities. It is not necessary to have prior experience or knowledge in the field of law. Candidates must be US Citizens or permanent residents to be eligible. APPLICATION INSTRUCTIONS Please read the instructions carefully and make sure you answer all required questions fully. CHHSP will only review candidates who complete and submit this form, two essays, a recommendation form and an official undergraduate transcript. It is your responsibility to ensure that CHHSP receives this part of the application by April 25, 2016. SECTION A: About You LEGAL NAME LAST: FIRST: M.I: Date of birth: / / ADDRESS Street: City Zip: E-mail: Telephone number: PERMANENT HOME ADDRESS, if different from above Street: City Zip:

E-mail: Telephone number: Are you interested in pursuing a career in law? YES NO Your gender: Male Female Are you a US citizen? Yes: No * Country of Origin Permanent Resident: *You must provide a copy of your Permanent Resident card ("Green Card") for verification. If you are a US citizen, please check the box that best describes your ethnic background. African American Asian American/Pacific Islander: PLEASE SPECIFY: Caucasian Latino: PLEASE SPECIFY: Bi-Racial: PLEASE SPECIFY Native American*: Other: PLEASE SPECIFY: * Native American applicants must provide a photocopy of their Tribal Enrollment Card. If you cannot supply a copy, please enter the following information: Name of Tribe: Your Tribal Registration Number: HOW DID YOU HEAR ABOUT THE PROGRAM? DiscoverLaw.Org Pre-Law Advisor/Counselor Other: Section B: EDUCATION Name of Undergraduate Institution: Undergraduate Institution Address: Current Year: MAJOR: GPA:

SECTION C: ACTIVITIES AND WORK EXPERIENCE LIST BELOW THOSE SCHOOL AND COMMUNITY ACTIVITIES THAT ARE MOST IMPORTANT TO YOU, LISTING ANY OFFICES HELD AND LEADERSHIP ROLES FIRST. LIST BELOW ANY WORK EXPERIENCES YOU HAVE HAD. LIST BELOW ANY HONORS YOU HAVE RECEIVED IN HIGH SCHOOL AND COLLEGE. IS THERE ANYTHING ELSE YOU WOULD LIKE US TO CONSIDER WHEN REVIEWING YOUR APPLICATION?

SECTION D: YOU AND YOUR FAMILY YOUR PARENTS' MARITAL STATUS: Please circle one Married Separated Divorced Widowed Single Do you have siblings? BROTHERS: (How many) Number: Age(s): SISTERS: (How many) Number: Age(s): Do you have family members (immediate or extended) who attended law school? Yes No If yes, please list name(s) and year(s) of graduation: PARENTS EDUCATION: Father s highest level of education. Mother s highest level of education.

ESSAYS All candidates are required to submit two original essays. Each essay should be neatly written or typed on standard 8.5" x 11" paper. The candidate's name, mailing address and the date should appear at the top of each sheet. Each essay is limited to 500 words in length. Essay One Discuss why you are interested in attending the program and what you expect to gain from attending the program. Essay Two Explain a situation in which you demonstrated leadership. What did you learn from the experience? Please review the form to make sure you have answered all questions fully. CHHSP will only review candidates who submit this form, a recommendation form, and an official undergraduate transcript.

ACADEMIC RECOMMENDATION FORM Student: Please fill in your name and address below. This two (2) page form should be completed by a teacher or advisor who can assess your academic work and ability. Name of Applicant Home Address Telephone Number To The above student is an applicant for admission to a pre-law program, the Charles Hamilton Houston Scholars Program, and has given your name as a reference. The information you are providing concerning the above named applicant is considered an important part of the application process. Your time and thoughtfulness in furnishing this information are greatly appreciated. Instructions: After completing this form, you may choose to submit it by either of the two ways listed below. 1). Place it in an envelope (not provided). Seal the envelope and sign it across the seal. Mail it directly to CHH Scholars Program, University of Baltimore School of Law, 1415 Maryland Avenue, Baltimore, Maryland 21201-5779, or 2) Scan a copy of this form and your business card. Please make sure the form is signed. E-mail the form to chhsp@lubalt.edu. Please type or print neatly. This form must be received no later than April 25, 2016 5:00 p.m.

Name Title Organization Email Address Telephone 1. How long have you known the applicant and in what capacity? 2. What characteristics or attributes best describe the applicant? 3. In what area is the applicant most exceptional? 4. In what area does the applicant need the most improvement? 5. How well do you feel the applicant handles disappointment or differences of opinion?

In terms of the qualities listed below, please give us your appraisal of the applicant: Academic Achievement Exceptional Outstanding Above Average Average Below Average Unable to Assess Academic Potential Extracurricular/Community Contributions Character/Personal Qualities Ability to Work with Others Overall rating: Strongly recommend Recommend with reservations Recommend Do not recommend Other comments: Signature Date Please attach your business card