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info@mablacklawyers.org
Sign Up
Subscribe Today!
Events
Events
About Us
Members
Sign Up
Log In
Account
Profile
Directory
Job Opportunities
Leadership
Board Committees
Past Presidents
Scholarships
Resources
Attorney Referral Program
MBLA Mentorship Program
Committee Marketing Request
Contact
Submit an Employment Opportunity
Submit Your News & Announcements
Donations
MBLA Law Student Scholarship Nomination Form
Nominator's Biographical Information
Nominator's Name
*
First
Last
Nominator's Best Email Contact
*
Nominator's Best Phone Contact
*
Scholarship Award Selection
*
Which scholarship award are you nominating this candidate for? Please choose from the drop-down list below.
Justice Reginald Lindsay Public Service Scholarship Award
Justice Roderick Ireland Juvenile Justice Scholarship Award
Fletcher "Flash" Wiley MBLA Legacy Scholarship Award
What is your relationship to the Nominee?
*
Please choose the option that best describes your relationship with the nominee.
The Nominee is my current or former student.
The Nominee is my current or former employee.
The Nominee is my colleague and/or classmate.
The Nominee is my mentee/mentor.
I am nominating myself.
Nominee's Biographical Information
Nominee's Name
*
First
Last
Nominee's Best Email Contact
*
Nominee's Best Phone Contact
Nominee's Mailing Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
How long and in what capacity have you known the Nominee?
*
Leadership Ability
Please evaluate the Nominee’s leadership abilities. This can include an assessment and/or description of the Nominee’s leadership activities in addition to the Nominee’s character traits that make him or her an effective leader. Please discuss any specific intellectual or personal strengths the Nominee posses that would make him or her an excellent leader in the legal profession.
*
Commitment to Juvenile Justice
Does the Nominee have any specific skills or life experiences that would enable him or her to be an effective advocate for juvenile rights and to handle confidential and sensitive matters (e.g. language skills, cultural familiarity, insight into a subgroup derived from living experiences)?
Does the Nominee have specific intellectual or personal strengths that would make him or her an excellent advocate for juvenile rights?
*
Please evaluate the Nominee’s commitment to juvenile advocacy. That commitment may be demonstrated by the Nominee’s practical experiences, course work, public service, or by his or her personal qualities.
Embodiment of the MBLA Legacy
Please speak to the Nominee's embodiment of the MBLA Legacy, which is to champion the cause of diversity and inclusion through leadership and volunteerism.
Please discuss the Nominee's exhibited commitment to "lift as he or she climbs," which means to invest in the professional and personal development of others.
*
Commitment to Serving the Legally Underserved
Does the Nominee have special abilities to serve or represent groups or interests lacking access to the law or legal representation (e.g. language skills, cultural familiarity, insight into a subgroup derived from living experiences)?
Please evaluate the Nominee’s commitment to public service. That commitment is evidenced not only by the Nominee’s public service activities in high school, college, graduate school, or career, but also by his or her personal qualities of tenacity, compassion, and initiative in the conduct of such activities.
Does the Nominee have special intellectual or personal strengths or acquired expertise relevant to public service activities?
Letter of Recommendation Request
Recommender's Name
*
Please provide the name, phone and email contact information of the individual(s) who you wish to submit a Letter of Recommendation (LOR) in support of your nomination. Candidates nominating themselves for the Wiley Scholarship Award must submit TWO LORs, one authored by a current or former law school professor, to complete their award application packet. Each individual submitted will be automatically notified by email of your LOR request.
First
Last
Recommender's Best Email Contact
*
Recommender's Best Phone Contact
*
Additional Recommender's Name
*
If you are nominating yourself for the Wiley MBLA Legacy Scholarship Award please enter the name, email and phone contact information for an additional individual who you wish to submit a letters of recommendation (LOR) on your behalf. At least one LOR must come from a current or former law school professor.
First
Last
Additional Recommender's Best Email Contact
*
Additional Recommender's Best Phone Contact
*
Supporting Documents
Unofficial Law School Transcript
*
Max. file size: 50 MB.
Please upload a copy of your most recent law school transcript. The transcript should reflect performance through the Fall 2017 semester. You transcript will only be used for the purpose of evaluating your application for the Wiley MBLA Legacy Scholarship.
Name
This field is for validation purposes and should be left unchanged.
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