• First Name
• Middle Initial
• Last Name
• Date of Birth (mm/dd/yyyy)
• Address (line 1)
• Address (line 2)
• City / Province
• State SelectArmed Forces the AmericaArmed Forces EuropeAlaskaAlabamaArmed Forces PacificArkansasAmerican SamoaArizonaCaliforniaColoradoConnecticutCanal ZoneDistrict of ColumbiaDelawareFloridaFed States of MicronesiaNon-U.S. Foreign Resid.GeorgiaGuamHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMarshall IslandsMichiganMinnesotaMissouriNorthern Mariana IslandsMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasU.S. Minor Outlying Isl.UtahVirginiaVirgin IslandsVermontWashingtonWisconsinWest VirginiaWyoming
• Zip
• Ethnicity Asian Black or African American Hispanic or Latino American Indian or Alaska Native Native Hawaiian or Other Pacific Islander White (your response is voluntary)
• Home Phone
• Cell Phone
• E-mail Address
• Emergency Contact
• Emergency Contact Number

• College/University
• Major
• Overall GPA
• GPA in Major
• Expected Graduation

• High School
• City
• State SelectArmed Forces the AmericaArmed Forces EuropeAlaskaAlabamaArmed Forces PacificArkansasAmerican SamoaArizonaCaliforniaColoradoConnecticutCanal ZoneDistrict of ColumbiaDelawareFloridaFed States of MicronesiaNon-U.S. Foreign Resid.GeorgiaGuamHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMarshall IslandsMichiganMinnesotaMissouriNorthern Mariana IslandsMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasU.S. Minor Outlying Isl.UtahVirginiaVirgin IslandsVermontWashingtonWisconsinWest VirginiaWyoming
• Zip

Please enter your personal statement focused on your background, education, and career aspirations, and why you want to participate in this program. (1500 word maximum)

A letter of recommendation from a colledge instructor or advisor must be sent in a sealed envelope that includes contact information for the person providing the reference. Enter your reference's name and email below to send your reference a preliminary email of intent and provide the Fair Housing Legal Support Center a record of the expected reference.

• First Name
• Last Name
• Email Address

Official transcript(s) from all college(s) or universities you've attended must be submitted. Please list the institutions from which we should expect transcripts.

• School 1
• School 2
• School 3