Buckfire & Buckfire, P.C. Law School Diversity
Scholarship Application
STUDENT INFORMATION
Name: ________________________________________________________________________
Last
First
MI
Law school currently attending: ___________________________________________
Cumulative GPA: ________________________ Student ID: __________________________
Expected Graduation Month/Year: ______________________________
Present Mailing Address: _________________________________________________________
Street
Apt #
______________________________________________________________________________
City
State
Zip Code
Telephone #: _______________________
Email: ____________________________________
(optional) Gender:
______Female
______Male
(optional) Ethnicity:
______Asian
______American Indian/Alaska Native
______Hispanic
______Black/African American
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______Native Hawaiian/Pacific Islander
______Two or more races
______White
______LGBT
______Other
ACADEMIC INFORMATION
College, University and/or
Professional School
Dates Attended
Degree and Date
of Graduation
Major
1. Describe how you contribute to the diversity of your law school’s student body:
2. Highlight honors or awards that you have received:
3. Please list any other relevant information you want us to consider when reviewing your
application:
4. Please tell us how you learned about our scholarship program:
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ESSAY
Please submit a one-page typed essay describing you have utilized your time promoting ethnic diversity
within your community. Alternatively, you may write about how you will use your law degree to
promote ethnic diversity.
DOCUMENTATION
Please submit an official transcript including your most recent semester at an accredited law school
within the United States.
CERTIFICATION
I hereby certify that the information I have provided on this application form and in any attached
materials is true and complete to the best of my knowledge.
__________________________________________
Applicant Signature
___________________________
Date
Return Completed Application and requisite materials by April 1, 2016 to:
Buckfire & Buckfire, P.C.
Attn: Law School Diversity Scholarship
25800 Northwestern Hwy, Ste. 890
Southfield, MI 48075
Note: This application and supporting material must be post marked by April 1, 2016. The recipient of
the scholarship award will be notified on June 1, 2016.
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