UNIVERSITY OF CALIFORNIA, LOS ANGELES UCLA B ERKELEY • D AVIS • I RVINE • LOS ANGELES • M ERCED • R IVERSIDE • S AN DIEGO • S AN F RANCISCO S ANTA B ARBARA • S ANTA C RUZ SCHOOL OF LAW BOX 951476 LOS ANGELES, CALIFORNIA 90095-1476 Phone: (310) 794-5216 email: tlcee@law.ucla.edu TRIBAL LEARNING COMMUNITY & EDUCATIONAL EXCHANGE SCHOLARSHIP APPLICATION Space is limited; Applications are read on a first-come/first-read basis. Applications received after the deadline will not be read Applicants will be notified of their application status via e-mail within 7-10 business days of the deadline date. Please DO NOT fax applications. Name: Scholarship(s) of Interest: Please write in the name of the course(s): _________________________________________________________ Last First Middle Address: (No PO Boxes) Work Phone: __________________________________________________________ (___)___________ Line #1 Home Phone: __________________________________________________________ Line #2 (___)___________ ___________________________ City ____ State E-mail: __________ Cell Phone: Zip Code (___)___________ Tribal Affiliation (if any): ______________________________________________________ ______________________ Employer: Scholarship Deadlines: ______________________________________________________ Fall Classes ............ September 1st Winter Classes ….. December 1st Spring Classes ……March 1st Summer Classes….. June 1st Please write a brief paragraph describing your interest in this (or these) course(s): Attach an extra sheet if needed. Please address the scholarship criteria listed on the Scholarship Information Sheet. TRIBAL LEARNING COMMUNITY & EDUCATIONAL EXCHANGE UCLA School of Law On-Line Course 8.2009