BERKELEY-KOGUAN CERTIFICATE IN AMERICAN LAW PROGRAM:

APPLICATION FORM for SUMMER 2011

Application Deadline: December 10, 2010

Name: ______Date of Birth:______

Family name, Given nameYear, Month, Day

Citizenship:______Passport No. ______

Email address:______

Mailing address:______

______

Phone number:______

Mobile number:______

Employer:______

Position/Title:______

Attorney License No. ______Year License Obtained: ______

Jurisdiction in which attorney license issued: ______

FOR WHICH BAR EXAMINATION DO YOU INTEND TO APPLY? (check one)

___New York Bar examination ____ Will not take Bar examination

___California Bar examination

Have you previously applied to take a U.S. Bar exam? Yes/ No (circle answer)

If yes, please identify state location and year of exam: ______

WILL YOUR EMPLOYER PAY FOR YOUR PROGRAM TUITION EXPENSE?

___Yes, my employer will pay 100% of expense

___ Yes, my employer will pay partial subsidy

___No, my employer will not pay. I will pay the tuition expense.

ACADEMIC BACKGROUND

University Attended: ______Location: ______

Degree obtained: ______Completion Year: ______

Other Advanced Degree obtained (Institution, Degree, Year): ______

______

Class Rank: ______Major:______GPA: ______

Have you previously applied to any LL.M program? Yes/No Year: ______

If yes, to which program(s), if any, were you accepted? ______

Have you previously registered on the LSAC Credential Assembly Service? Yes/No If yes, when did you register? ______LSAC No. ______

NOTE: Please attach a copy of your academic transcript(s) to this Application.

EMPLOYMENT HISTORY

Current Firm: ______Location: ______

Years Worked: ______Specialization: ______

Prior Firm: ______Location: ______

Years worked: ______Specialization: ______

Prior Firm: ______Location: ______

Years worked: ______Specialization: ______

Name of Professional Reference: ______

TOEFL/IELTS SCORE (note: please attach copies of test transcripts):

Date of Test: ______Test: ______Score: ______

Date of Test: ______Test: ______Score: ______

STATEMENT OF PURPOSE

Please write a brief one-page statement explaining the nature of your interest in the Berkeley-KoGuan Certificate of American Law (CAL) Program, and how you believe it will help you attain your professional goals. (Please attach your completed essay to this Application).

LETTER OF REFERENCE

Please also attach 1-2 Letter(s) of Reference from your current or previous employer, or from your academic advisor. The Letter of Reference should address your moral character, intellectual aptitude and both current and potential accomplishments as a lawyer.

CERTIFICATION

I have read the accompanying Program Guidelines, and understand that I am responsible for undertaking all steps to ensure that I become eligible for the Bar examinations through the necessary credentialling procedures. I further certify that, if accepted to the Berkeley-KoGuan CAL Program, I will commit to fully undertaking all necessary work to complete the program in a diligent manner.

Signed: ______Date: ______

BERKELEY CAMPUS HOUSING

If accepted to the program, which housing option do you intend to pursue?

_____I would like to reserve a room at the Berkeley Faculty Club

_____I will arrange my own independent housing

HOW DID YOU LEARN ABOUT THIS PROGRAM: (please circle one)

____ Regional Bar Association

____ National Bar Association

____ Shanghai-Jiaotong University KoGuan Law School website

____ My law firm’s human resource dept.

____ Newspaper/media

____ Other; please explain: ______

1