Application for Scholarship

Paul D. White

To apply to the Orlando Office please return to:
Kelly Searcy, Recruiting Coordinator
SunTrust Center, Suite 2300
200 South Orange Avenue
Orlando, FL 32801-3432

No later than: February 6, 2015

Please fill in the following information and return it with your résumé and personal statement.

NAME & ADDRESS / Name (Last) / (First) / (Middle)
Other name(s) presently or formerly used:
Address:
City / State / Zip
Home Phone / () / SS # / - / -
Cell Phone / ()
PERSONAL
STATEMENT / Please write a brief personal statement (no more than two pages) expressing the influence that your ethnic and/or racial diversity has had on your life and/or your decision to become an attorney. If there is another reason for your becoming an attorney, please share that reason. Additionally, please identify your connection to Central Florida, your reasons for establishing your professional life in Orlando, and your particular objectives if selected as a Paul White Scholar and Summer Associate in the Orlando office of BakerHostetler.
Please attach your personal statement to this application form.
EDUCATION / College or University
Name / City / State
Major Field / Degree / G.P.A.
Law School-First Semester Grades(If not available by scholarship deadline, please forward transcript under separate cover when available.)
REFERENCES / Please list two (2) references: One from your current or a former employer and one from a professor you have worked with during your time at law school. For each reference, include complete contact information, the individual’s title/position
Reference 1 / Reference 2
Name of Reference
Address/Phone number
Company
Title/Position
Relationship to You/Years know
EMPLOYMENT HISTORY / Include any periods of unemployment. Give complete names and addresses. If self employed, give firm name and one business reference. List your last three employers starting with the most recent employer first. Attach any additional information on a separate sheet.
Last or Present / Next Previous / Next Previous
Name of Employer
Address
Type of Business
Title/Position
Nature of Responsibilities
PERSONAL /
  • Are you restricted or prohibited from being legally employed in the United States of America? (Proof of employment eligibility is a requirement of employment.) ...…………………….……...
/ □ Yes □ No
  • Have you ever been employed by BakerHostetler (or one of its predecessor firms)? …….……...
/ □ Yes □ No
  • Have you previously applied for a position with BakerHostetler? …......
/ □ Yes □ No
  • Are any members of your immediate family (immediate family is defined as your spouse, children [and spouse's children], parents [and spouse's parents] or siblings [and spouse's siblings]) presently employed by or applying for employment with BakerHostetler? .……......
/ □ Yes □ No
  • Have you ever been convicted of or did you plead “guilty” or “no contest” to a crime other than aminor traffic offense? (Exclude offenses that have been sealed or expunged.) If so, please explain fully, including the date and nature of the offense, jurisdiction, sentence imposed/served. Conviction will not automatically bar you from employment……………………………………...
/
□ Yes □ No
  • Have you timely filed your federal and state of residence income tax returns for the past three years? ……………………………………………………………………………………….....…..
/ □ Yes □ No
  • Can you perform the essential functions of the job, with or without reasonable accommodation?
/ □ Yes □ No
  • Have you ever been denied government security clearance at any governmental level? ……..…...
/ □ Yes □ No
  • Race/Ethnicity ……………………………………………….....…..………………………………
/ □ American Indian/
Alaskan Native
□ Asian American/
Pacific Islander
□ Black/African American
□ Hispanic
□ Two or more races
ACKNOWLEDGMENTS / If employed by BakerHostetler, I understand, acknowledge and agree that in the event of my employment by
BakerHostetler:
  • My employment will not be governed by any written or oral contract and is considered "at-will," which means that either the Firm or I may terminate the employment relationship for any reason and at any time, with or without notice, so long as there is no violation of any applicable federal, state or local law. Any current or future Firm policies, procedures or practices will not constitute an employment agreement, either expressed or implied, and cannot modify this at-will arrangement. I understand that only the Executive Partner(s) of the Firm may modify this at-will arrangement and that such modification must be in writing and signed by the Executive Partner(s).
  • I will be prohibited from disclosing nonpublic information regarding clients, client matters and the Firm to anyone, and from using such information for any purpose other than for authorized Firm business.
  • I am not aware of any conflict of interest that would be adverse to BakerHostetler or to my employment with the Firm.
  • I understand that the accuracy and completeness of my statements in interviews and on my resume and application forms will be relied upon by BakerHostetler and that any false statement made by me may be a basis for withdrawing any offer made to me and for terminating my employment, compensation, or benefits to the extent allowed by law.

Signature / Date

Baker & Hostetler LLP is an Equal Opportunity Employer.

F:\diversity\Paul White Scholarship\2014\Applications\Application(s) for Scholarship(s) Orlando 14.docx