Dwyer Williams Potter Attorneys, LLP Law School Scholarship

Dwyer Williams Potter Attorneys, LLP Law School Scholarship
Application Form
STUDENT INFORMATION
Name (Last, First,
MI):___________________________________________________________________
Are you a U.S. citizen or otherwise authorized to work in the United States? ___Yes ___No
Name and city of law school you are planning to attend:
_______________________________________
_________________________________________________________________________________
____
Present mailing address (Street, Apt. # City, State, Zip
code):____________________________________
_________________________________________________________________________________
____
Telephone #: __________________________________
E-Mail: _______________________________________
ACADEMIC INFORMATION
Schools
Address
Dates
Degree / Major
Date of
Graduation
Current Major(s):
______________________________________________________________________
Highlight honors or awards that you have received:
Is there any other relevant information you want us to consider when reviewing your
application?
Please tell us how you learned about our scholarship program:
ESSAY INSTRUCTIONS:
Please submit a one to three (1-3) page essay describing why you believe you are the most
deserving recipient for this law school scholarship.
Please attach your essay as a separate document.
CERTIFICATION:
I hereby certify that the information I have provided on this Application Form and in any
attached materials is true and complete.
Applicant Signature:
_________________________________________________________________
Date: __________________, 20___
Return completed application and requisite materials either by mail or by e-mail in PDF
format by July 1, 2016 to:
Dwyer Williams Potter Attorneys, LLP
Attn: Tim Williams
1051 NW Bond St. Suite 310
Bend, OR 97701
[email protected]
For more information, visit www.roydwyer.com
Note: This application and supporting material must be received by July 1st, 2016.
Notification of the scholarship award decision will be made on or around August 1st, 2016.