SUPREME COURT FELLOWS PROGRAM - APPLICATION - Supreme Court of the United States

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Supreme Court Fellows Program - Application

Applicant Instructions

Complete the following form to submit your application electronically via the Internet.

Type all responses and answer all questions fully and accurately.

Please submit only the items requested.

Online applications must be received by November 30, 2012.

Applicants will be notified by mail when their complete application has been received.

Note: Please check the box below if you are unable to attach your writing sample(s) on Section 8. You may mail no more than two writing samples to us separately. Mailed writing samples must be received by the November 30, 2012, deadline. Send to:

Administrative Director
Supreme Court Fellows Program
Room 5
Supreme Court of the United States
Washington, D.C. 20543

I WILL be sending my writing samples separately.

Note: Required fields are in yellow.

1. Candidate Information

Name:
Other Names Used:
Occupation/Profession:

Contact Information:
Street Address*:
Street Address2*:
City, State, Zip*:
Home Phone:
Work Phone:
Fax Number:
E-mail Address:

* If more than one address, please give mailing address.

Employment Information:
Current Employer's Name:
Street Address:
Street Address2:
City, State, Zip:
Your Title, Rank or Status:

Please answer the following questions. Explain any questions answered YES, including appropriate details and resolution, in the explanatory text box below. (All questions are required.)

Have you ever worked for or are you now working for the federal government, or are you being paid by federal funds? (Include active duty military service.)
YesNo
Have you ever been discharged from the Armed Forces under other than honorable conditions?
YesNo
Have you ever been convicted of a criminal offense?
YesNo
Have you ever been charged with a felony?
YesNo
Have you ever been charged with a violation of any firearms or explosives laws?
YesNo
Have you ever failed to meet a court-ordered child support payment?
YesNo
Are you delinquent on any federal debt?
YesNo
Have you ever been suspended, disciplined, or barred from any occupation or practice by any regulatory agency, professional association or organization because of your conduct?
YesNo
Explanatory text:

2. Candidate Statement

Please attach your Candidate Statement below. The Statement should describe why you are applying for this fellowship, what you consider to be your major strengths and qualifications for the program, and what benefits you feel are likely to result from your participation. To the degree possible, reference specific projects of the sponsoring agencies to which you believe you can contribute and explain how your background and skills relate to those projects. Please limit your narrative to 700 words. Your Statement MUST be in either PDF or Microsoft WORD format.

3. References

Please reproduce the Candidate Evaluation form that is part of this application and give it to a minimum of 3 and a maximum of 5 people who know you well. References should have a direct knowledge of your qualifications and character. Each reference should send the evaluation directly to the program. Your application cannot be considered without these references.

In the space below, list the names and contact information for the individuals submitting candidate evaluations on your behalf.

Reference #1
Name:
Street Address:
Street Address2:
City, State, Zip:

Reference #2
Name:
Street Address:
Street Address2:
City, State, Zip:

Reference #3
Name:
Street Address:
Street Address2:
City, State, Zip:

Reference #4
Name:
Street Address:
Street Address2:
City, State, Zip:

Reference #5
Name:
Street Address:
Street Address2:
City, State, Zip:

4. How Did You Learn About the Supreme Court Fellows Program?

In the text box below, please tell us how you learned about the Supreme Court Fellows Program.

5. Certification

I certify that all of the statements in this application are true, complete, and correct to the best of my knowledge and belief, and are made in good faith.

Name: Date:

6. Investigation

I know and understand that any or all items contained herein may be reviewed by representatives of the Commission, including former Supreme Court fellows, and, if I become a finalist, are subject to investigation or verification by duly accredited investigators of the federal government.

Name: Date:

7. Resume

Please attach your resume below. Your resume MUST be in either PDF or Microsoft WORD format. Include the following:

Educational Background
Employment History
Volunteer Activities
Professional Activities

Attach your resume here:

8. Writing Sample

Please attach copies of one or two samples of your written work (i.e., writing samples written entirely by you.) These samples may include, but are not limited to, articles, reviews, papers, and chapters from books or dissertations. In most cases, one sample of approximately twenty pages is sufficient. All writing samples MUST be in Microsoft WORD format.

Writing sample file#1:

Writing sample file#2:

Type the characters you see in the picture before clicking Submit.

February 18, 2013 | Version 2009.0

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Supreme Court Fellows Program - Application