2018-2019 Law Student Scholarship Application

Energy & Mineral Law Foundation

340 South Broadway, Suite 101

Lexington, KY 40508

Telephone 859.231.0271 • Telecopier 859.226.0485

This Application May Be Photocopied As Needed

(Please type or print)

Personal Data

Name:

Current Address:

Home Address:

Home Telephone Number: Office:

State of Legal Residence: Email address:

Place and Date of Birth:

Marital Status: Single Married

Dependent Children: ____ # of Dependent Children

Educational Information

At what law school do you intend to use the scholarship?

If you are presently attending law school or transferring between law schools, how many credit hours toward graduation will you have at the end of the present semester?

Check applicable student status at the beginning of next semester:

Second Year Third Year Graduate

What was your last LSAT score?

If in law school, what is your cumulative grade point average or numerical average through the last semester completed?

What is your present class rank?

What courses and/or seminars have you taken in natural resources law? Please list the number of credits next to the course.

Course NameCredits

What courses and/or seminars do you plan to take in natural resources law? Please list the number of credits next to the course.

Course NameCredits

List all other colleges and universities you have attended:

College

Major Field

Dates Attended

Degree/Date

GPA

College

Major Field

Dates Attended

Degree/Date

GPA

Activities and Experience

Extra curricular activities in college or law school:

Honors or scholarships:

Publications:

List employment in natural resources, related fields or other recent employment:

Employer Name

Telephone Number

Title/Position

Dates

Employer Name

Telephone Number

Title/Position

Dates

Complete if you are currently employed:

Employer:

Address:

Telephone Number:

Remuneration received:
List expected school-related expenditures for the next academic year of law school:

Tuition & Fees: $

Books & Supplies: $

Total: $

List any other facts relating to your finances that may assist the Scholarship Committee in its evaluation of your application, including your number of dependents:

List all likely sources of financial support for the next academic year, including that of your spouse:

Savings: $

Family Support: $

Employment: $

Grants/Loans: $

Total: $

Personal Statement

In the space below, please describe how you developed your interest in energy and natural resources law and how you intend to contribute to this field of law. Your Personal Statement may also be typed on a separate page and included with your application.

Please list the name, address, telephone number and email address of two (2) individuals who will be sending the Energy & Mineral Law Foundation letters or references. At least one (1) letter of recommendation must be submitted from a law school dean, faculty member or from a member of the legal profession.

All letters of recommendation and references must be received by the May 1,2018application deadline to be considered. Letters of reference may also may be sent to the Foundation via fax at 859.226.0485 or emailed as attachments to . Be sure to include your name in the subject line if you send the letters separate from the application so the supporting data can be attributed to the correct scholarship application.

Reference #1

Name:

Address:

Telephone Number:

Email Address:

Reference #2

Name:

Address:

Telephone Number:

Email Address:

Certification

By entering your name below, you are agreeing that you hereby certify that the preceding statements are true. If material changes occur on any of the questions I have answered on this application, I will notify the Foundation immediately.

Signature of ApplicantDate

Students — Please Read Carefully!

It is the responsibility of the applicant to see that the following items are faxed to the Foundation Offices or emailed to or postmarked no later than the May 1, 2018deadline in order to qualify for a Law Student Scholarship:

1) Law Student Scholarship Application

2) Official Law School Transcripts

3) Letters of Recommendation and References