SCHOLARSHIP APPLICATION

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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: [email protected]
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
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