CLEO 2010 Achieving Success In The Application Process Online Application July 9-11, 2010 (Atlanta) & July 23-25, 2010 (L.A.)
To participate in the ASAP Pre-Law Program, you must have at least a 2.7 Grade Point Average and be either a senior in the fall of 2010 OR a college graduate.
First Name Middle Last Name
The Last four digits of your SSN:
Permanent Address (After May 15, 2010) Perm City Perm State Select Outside US / Canada Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Province du Quebec Puerto Rico Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory Perm Zip Perm Telephone ( ) - Cell Phone ( ) -
Present Address Present City Present State Outside US / Canada Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Province du Quebec Puerto Rico Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory Present Zip Present Phone ( ) -
E-mail Address IMPORTANT: Applications MUST CONTAIN ONLY ONE FUNCTIONING E-MAIL ADDRESS because your application confirmation and other information will be communicated via e-mail. Please do NOT let your e-mail boxes fill up; if this happens, the e-mail will not be received and will be bounced back without delivery!
Date of Birth Month 01 02 03 04 05 06 07 08 09 10 11 12 Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 Place of Birth Gender Select Female Male Are you a U.S. Citizen? Yes No What is your state of residence?
An individual may be determined to be otherwise disadvantaged if he/she meets at least one of the following criteria (please check all that apply):
First generation college graduate Participated in a TRIO program Exhibits limited English proficiency Resided in a public housing facility Attended secondary school in a Title I School District Disabled, as defined by the Americans with Disabilities Act
Low-income, Economically, or Otherwise Disadvantaged. A student may be determined to be low-income if he/she earned less than 150% of the HHS poverty guidelines AND his/her parents earned less than $40,000. An independent student may be determined to be economically disadvantaged if his/her income is less than 185% of the HHS poverty guidelines.
a. Are you low-income? Yes No b. Are you economically disadvantaged? Yes No If you answered "YES" to questions "a" or "b" please submit a copy of your STUDENT AID REPORT.
High School from which you graduated: High School Name High School City High School State High School Graduation Date
College Major GPA College Address/City College State Outside US / Canada Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Province du Quebec Puerto Rico Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory (Expected) Date of Graduation
How did you find out about this seminar? CLEO Website Posted Flyer Mailing E-mailMessage Other Career Center Pre-Law Advisor Identify Advisor and Institution
Have you previously applied to law school? Yes No Have you taken the LSAT Exam? Yes No LSAT Test Date: LSAT Score (If you didn't take the LSAT, you must put N/A): When do you plan to attend law school? August 2011 August 2012 Other
Have you participated in other CLEO Seminars? (check all that apply) Road to Law School Sophomore Super Saturdays Juniors Jumpstart the LSAT CLEO Connection Sophomore Summer Institute (SSI) CLEO - Womble Carlyle Road to Law School Academy (NC) Road to Law School Academy (TX)
Certification To the best of my knowledge, all information is complete and accurate as reported. I understand that I may be required to verify information pertaining to my eligibility to participate in this federally funded program. I understand that the Achieving Success in the Application Process Pre-Law Program will be offered in two locations. If selected, I will be assigned to the program closest to my permanent address. I will be responsible for transportation to the event; however, I will receive a travel stipend in the amount of $200 upon successful completion of the seminar. I also understand that the main objective of this program is to provide me with the preparation necessary to succeed in the law school application process and I am willing to cooperate with CLEO by attending all workshops, completing all surveys, and authorizing CLEO to obtain a copy of my future law school transcripts.
Signature:
Please make sure you've completed all necessary information correctly. Once you click submit, you won't be able to go back; however you could correct or complete information by hand after printing out your registration confirmation email.
