Application for Admission

Twenty-sixth National Security Law Institute

2018 Session: Sunday, June 3 – Friday, June 15

Page 3 of 3

APPLICATION DEADLINE: Wednesday, 9th May 2018

Please type or print clearly

1.Name:

First Middle Family

2.Present Mailing Address:

Street Address

City State (USA) or Country Postal Code

EMAIL ADDRESS: ______

3.Permanent Mailing Address:

4.CURRENT ORGANIZATION: ______

5. CURRENT POSITION: ______

6. PROFESSIONAL EDUCATION:

______

7. Citizenship: U.S. Citizen Permanent Resident Non-resident :

8.Curriculum Vitae:Please attach a resumé or curriculum vitae indicating educational background (including any honors awarded), related work experience and current position and title (including a description of duties), and any other information you feel is relevant to your application.

9.Health:The Center for National Security Law cannot assume responsibility for any medical expenses incurred by an individual while attending the Institute. Therefore, applicants who are accepted to the Institute must have health insurance coverage. This is not a prerequisite for applying. Applicants to the National Security Law Institute must accept full responsibility for their health and related expenses while in Charlottesville, VA.

10.Language Requirement:All courses at the National Security Law Institute will be taught in English.

11. TUITION: The attendance fee for the NSLI is $1950, which includes:

·  Daily lectures

·  Course materials, including textbooks

·  Daily lunches and two evening events

·  Twelve (12) nights of lodging at The Hyatt Place at Stonefield; starting Sunday, June 3 through Thursday, June 14, 2018 (Complimentary breakfast included in room rate)

12. SCHOLARSHIPS: The Institute does offer financial scholarships on an as-needed basis.

For information regarding scholarships, please contact Bill Lacy,

For more information about the Institute, the points of contact are:

·  Program Information: Ms. Mer McLernon, or 434-924-4771

·  Application: Mr. Bill Lacy, or 434-924-3590

Signature of Applicant (electronic signature or initials may be used)

______

Date: ______

Please email this completed form to:

Submit Application to: Bill Lacy:

Bill Lacy

Center for National Security Law
University of Virginia School of Law
580 Massie Road, Rm. 350
Charlottesville, VA 22903

Phone: (434) 924-3590

Fax: (434) 924-7362
http://www.virginia.edu/cnsl/nsli