Student Information s2

Tiftickjian Law Firm, P.C. is committed to juvenile justice and we would like to encourage young people to pursue a career in law and hopefully make a difference to someone in their careers. We have discovered that nothing matters more in the early life of a youth charged with a crime than lawyers, legal professionals, and judges who are committed to defending the rights of the youth. That is why our law firm is offering the Juvenile Justice Scholarship to encourage and assist students with attending law school with an interest in juvenile justice, as well as raise awareness of the issue of prison sentences and reduced rights for minors that place youths on an institutionalized path towards spending a large part of their life in the criminal justice system. We can do better. Thank you for taking an interest and applying for this scholarship.

STUDENT INFORMATION

Name (Last, First, MI ):

Are you a United State’s citizen or otherwise authorized to work in the United States? _Yes _No

Name and city of school you are attending or planning to attend:

Present mailing address (Street Apt. # City, State, Zip code) :

Telephone #:

E-Mail:

Essay Requirements: We require a one page to three page essay about the current status of the juvenile justice system and what can be done differently to improve the system and prevent incarceration of children.

The Tiftickjian Law Firm would like to use each applicant’s essay in a series on Juvenile Justice. Do you give us permission and copyright to use your essay and your identity on our website? Please circle Yes or No.

If you circled yes, how would you like attribution? Please circle one:

Also if you’re selected as the winner, to receive award you need to complete and return the likeness release form. ACADEMIC INFORMATION Schools Address Dates Degree / Major Date of Graduation

Current Major(s)?

Please highlight any scholastic honors or awards that you have received:

Is there any other relevant information you would like us to consider when reviewing your

Application and essay?

Please tell us how you learned about our scholarship program: CERTIFICATION:

I hereby certify that the information I have provided on this application Form and in any attached materials is true, complete and my own work.

Applicant Signature:

Date: /

Return completed application and requisite materials by July 31, 2018 to:

For more information on Criminal Defense and DUI, visit Tiftickjian Law Firm at w w w . c r i m in a l l a w den v e r.com.

Note: This application and supporting material must be received by July 31st, 2018. Notification of the scholarship award decision will be made on or around August 15th, 2018. L i k ene ss Rel ea se F o r m

In the event I am the undersigned scholarship winner, I hereby grant permission to the Tiftickjian Law Firm, P.C. to use my name and to quote my winning essay (in whole or in part) or use my Entry (in whole or in part) in all promotional and other activities relating to the Contest, including, but not limited to, publication in written materials, posting on websites and other social media, and use in radio and television broadcasts.

In the event that a Scholarship winner participates in any promotional or other activity relating to the Scholarship, the winner authorizes the Tiftickjian Law Office, P.C. to use, re-use, publish, re-publish, and copyright audio and/or visual reproductions of the winner's voice and/or image, alone or with other persons, with or without use of the winner's name.

Please indicate your agreement to the foregoing by signing below.

Signature

I understand by entering my name on the signature line that it represents an electronic signature, which is legally binding.

Print Name_

Address, Telephone