L CROWN QUADRANGLE, 559 NATHAN ABBOTT WAY LSAC Account No. STANFORD, CALIFORNIA 94305-8610
APPLICATION FOR VISITING STUDENT (NON-MATRICULATING) STATUS, SEPTEMBER 2016 APPLICATION DEADLINE: JUNE 20, 2016 Please complete the information below using a computer or a typewriter. (Please do not handwrite.)
1. Name (LAST) (FIRST) (MIDDLE)
2. Birthdate Birthplace Country of Citizenship ( MM/DD/YY) (CITY, STATE)
3. If you are not a U.S. citizen, are you a U.S. registered permanent resident? Yes No Registration No.
4. U.S. Social Security No. 5. Male Female
6. Address to which decision letter should be mailed: Permanent address: (valid until / /2016): ( MM/DD)
(STREET) (STREET)
(CITY) (STATE) (ZIP) (CITY) (STATE) (ZIP) Telephone ( ) Telephone ( )
7. Electronic mail address (valid until / /2015): ( MM/DD)
8. Parents’ names and addresses
Telephone ( )
Telephone ( )
9. Have you previously applied for admission to Stanford Law School? Yes No If so, when?
10. List, in order of attendance, all colleges, universities, and graduate and professional schools you have attended.
Degree and Date Dates of Attendance Actual or Estimated Rank School and Location (MM/YY)-(MM/YY) Received or Expected Major (MM/YY) in and Size of the Class
11. Has your college, university, graduate, or professional school been interrupted for one or more terms for any reason?
Yes No
12. If your education was interrupted, explain the circumstances.
______
______
Continued L LSAC Account No.
13. If you are a U.S. citizen or U.S. registered permanent resident, please indicate your ethnic origin. Although self-identification is voluntary, the U.S. Department of Education requires Stanford to report on the composition of its student enrollment. No information you provide will be used in a discriminatory manner.
a. *Are you Hispanic or Latino? Yes No Decline to Respond
*If you selected ‘Yes’ to the above question, select an ethnicity. Cuban American Mexican American (Chicano/a) Puerto Rican South or Central American
b. Regardless of your answer to the prior question, please select up to three that apply:
Asian Caucasian/White Far East Southeast Asia European Middle Eastern Indian Subcontinent North African
* American Indian or Alaska Native Consent American Indian/Alaskan Native Decline to Respond
*If you have indicated your ethnic origin as Native Hawaiian or Other Pacific Islander American Indian/Alaska Native, please list your Native Hawaiian/Other Pacific Islander tribal affiliation. ______
Black or African American Black/African American
14. List in chronological order all the dates on which you have taken, or intend to take, the Law School Admission Test and report scores already received.
Date Score Date Score Date Score ( MM/YY) ( MM/YY) ( MM/YY)
15. If applicable, list relevant honors, awards, and publications. (Please attach an additional page if necessary.)
16. List any significant extracurricular activities or employment during your school years, including dates, type of work and average number of hours worked per month. (You may use a separate sheet.)
17. Have you ever at any college or university been in other than good standing because of academic deficiencies, been sanctioned for misconduct, or been the subject of disciplinary proceedings? Yes* No
18. Have you ever been convicted of, or is any charge now pending against you for, any crime other than a traffic violation? Yes* No
19. Have you ever been subject to discipline by a professional organization? Yes* No
*If your answer to any of questions 17-19 is “Yes,” please attach an explanatory statement or an electronic attachment.
20. Recommendations. List the two people whom you have asked to send recommendations to Stanford Law School. Be sure to send each of your referees a copy of the appropriate instructions.
a.
b.
21. List any relatives who have attended Stanford Law School, their relationship to you, and year of graduation.
Continued L LSAC Account No. Notices & Certification
Notices
The American Bar Association requires that applicants for admission to law schools be advised to obtain information regarding the requirements for admission to the bar in the state(s) in which the applicant intends to practice. Please be aware that all states evaluate the moral character and academic accomplishments of applicants for admission to the bar, and some states require registration before beginning the study of law.
Stanford University admits qualified students of any race, color, national or ethnic origin, sex, age, disability, religion, sexual orientation, and gender identity to all the rights, privileges, programs, and activities generally accorded or made available to students at the University. Consistent with its obligations under the law, Stanford prohibits unlawful discrimination on the basis of race, color, national or ethnic origin, sex, age, disability, religion, sexual orientation, gender identity or expression, veteran status or any other characteristic protected by applicable law in the administration of the University's programs and activities; Stanford also prohibits unlawful harassment including sexual harassment and sexual violence. The following person has been designated to handle inquiries regarding this nondiscrimination policy: Director of the Diversity and Access Office, Mariposa House, 585 Capistrano Way, Stanford University, Stanford, CA 94305-8230; (650) 723-0755 (voice), (650) 723-1216 (TTY), (650) 723-1791 (fax) [email protected] (email). Stanford's Title IX Coordinator has been designated to handle inquiries regarding sexual harrassment and sexual violence: 450 Serra Mall, Building 160, Stanford, CA 94305, (650) 497-4955 (voice), (650) 497-9257, [email protected].
Stanford University complies with the Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act. Stanford's policies and statistics under this act are posted on the Department of Public Safety website at http://www.stanford.edu/group/ SUDPS/safety-report.shtml. A paper copy can be obtained by calling the Stanford Department of Public Safety at (650) 723-9633.
____ I acknowledge and agree to the above.
Certification
If you are offered admission, Stanford reserves the right to withdraw that offer of admission (even after enrolled attendance) if: 1) you show a significant drop in academic performance or fail to graduate; 2) there has been a misrepresentation in or a violation of any of the terms of the Stanford Law School (SLS) application process; 3) we learn that you have engaged in behavior prior to the first day of enrolled SLS attendance that indicates a serious lack of judgment or integrity; or 4) you reserve a place in our entering class and make an enrollment commitment or make a deposit at another law school. Stanford further reserves the right to require you to provide additional information and/or authorization for the release of information about any such matter.
By submitting this application electronically, I agree to the terms and conditions of the Stanford Law School admissions process (including those stated in the Advanced Degree Application Information and Procedure section on the Stanford Law School admissions website). I hereby certify that the information provided on this application form and in any attached materials is true and complete, and that the personal statement is my own work. I shall promptly inform the Law School if there is any change in any of the facts indicated herein. I also understand and agree that acceptance is conditional upon meeting any further requirements, terms, or conditions expressed at the time of acceptance. The Law School does not authorize nor is it bound by any requirements or conditions other than those communicated by the Office of Admissions.
____ I acknowledge and agree to the above.
Signature Date
PLEASE SEND THIS FORM DIRECTLY TO: OFFICE OF ADMISSIONS, STANFORD LAW SCHOOL, CROWN QUADRANGLE, 559 NATHAN ABBOTT WAY, STANFORD, CA 94305-8610