Name (Last name, first name, middle initial, Mr./Mrs./Ms.):

Social Security Number:

Current E-Mail Address:

Current Mailing Address:
Apartment # and Street Address:

City, State and Zip Code:

Current Telephone Number and Area Code:

I may be reached at this address and telephone number until:

May we contact you at work? Yes. No.
If yes, please include telephone with area code:

Permanent Address:
Apartment # and Street Address:

City, State and Zip Code:

Permanent Telephone Number and Area Code:

Up to twenty-two entering full-time law students, two from each of the eleven federal judicial circuits, will be designated Miami Scholars. Please indicate below, based upon your permanent address, the circuit to which you belong.

1st Circuit: Maine, Massachusetts, Rhode Island, New Hampshire, Puerto Rico

2nd Circuit: Connecticut, New York, Vermont

3rd Circuit: Delaware, New Jersey, Pennsylvania, Virgin Islands

4th Circuit: Maryland, North Carolina, South Carolina, Virginia, West Virginia, District of Columbia

5th Circuit: Louisiana, Mississippi, Texas

6th Circuit: Kentucky, Michigan, Ohio, Tennessee

7th Circuit: Illinois, Indiana, Wisconsin

8th Circuit: Arkansas, Iowa, Minnesota, Missouri, Nebraska, North Dakota, South Dakota

9th Circuit: Alaska, Arizona, California, Guam, Hawaii, Idaho, Montana, Nevada, Northern Mariana Islands, Oregon, Washington

10th Circuit: Colorado, Kansas, New Mexico, Oklahoma, Utah, Wyoming

11th Circuit: Alabama, Florida, Georgia

1. Please list public service activities in which you have been involved. Include the approximate number of hours and degree to which you participated in these activities.

2. Please describe any significant experiences that have had an impact on your decision to pursue a legal education.

3. Please indicate below your interest in serving in the public interest and pro bono following graduation from the School of Law.

4. Please submit, with this application, a 1,000-word essay regarding the importance of public service in a legal career.

I certify that, to the best of my knowledge, all the above and supplementary information is correct. I agree to notify the Office of Admissions of any significant changes that might affect the accuracy or completeness of the information in my application or my eligibility for consideration as a Miami Scholar recipient.

5. Please submit a current resume.

Date ____________________________________

Signature ____________________________________

Please do not fail to sign this document as it may cause a delay in its review by the Scholarship Committee.