- Massachusetts Black Lawyers Association

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.
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 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.

MBLA Law Student Scholarship Nomination Form

Nominator's Biographical Information

Nominee's Biographical Information

Leadership Ability

Commitment to Juvenile Justice

Embodiment of the MBLA Legacy

Commitment to Serving the Legally Underserved

Letter of Recommendation Request

Supporting Documents