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HUSL Scholarship Application--Spring 2015
Howard University School of Law
2900 Van Ness Street, NW
Washington, DC 20008
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Student Data
First Name
*
Your answer
Last Name
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Your answer
Middle Name/Initial
Your answer
Student Identification Number (including "@" symbol)
*
Your answer
Law School Classification
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Choose
First-Year JD
Second-Year JD
Third-Year JD
LLM
Current Street Address 1
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Your answer
Current Street Address 2
Your answer
Current City
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Your answer
Current State
*
Your answer
Current Zip
*
Your answer
Mobile Phone
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Format: XXX-XXX-XXXX
Your answer
Current Phone (If different from mobile phone)
Format XXX-XXX-XXXX
Your answer
Current Email Address
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Your answer
Summer Street Address 1
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Your answer
Summer Street Address 2
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Your answer
Summer City
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Your answer
Summer State
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Your answer
Summer Zip
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Your answer
Summer Country
*
Your answer
Permanent Street Address 1
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Your answer
Permanent Street Address 2
Your answer
Permanent City
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Your answer
Permanent State
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Your answer
Permanent Zip
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Your answer
Permanent Country
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Your answer
Citizenship Status
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Choose
US Citizen
Permanent Resident
Non-resident Alien (International Student)
Birthplace City/State
*
Your answer
Birthplace Country
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Your answer
Ethnicity
Black
American Indian or Alaskan Native
Asian or Pacific Islander
White (Non-hispanic)
Hispanic
Other:
Religion
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Gender
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Male
Female
Are you disabled?
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Yes
No
Employment Status?
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Full-time
Part-time
Unemployed
Have you applied for federal loans?
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Yes
No
Have you applied for private loans?
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Yes
No
Have you had an application for a private loan denied for the 2014-15 academic year?
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Yes
No
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