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1 ACC GREATER PHILADELPHIA 2016 DIVERSITY CORPORATE SUMMER INTERNSHIP PROGRAM Application Instructions 1. Complete the application and submit one letter of recommendation. 2. Enclose a personal essay of words describing your qualifications for this internship, a writing sample and your (official or unofficial) law school transcript. 3. Return all application materials to Anne Bancroft, Exelon Business Services Company, 2301 Market Street, Suite 23, Philadelphia, PA or anne.bancroft@exeloncorp.com with copy to: philly.chapt.asst@accglobal.com I. General Information: (Please Print in Ink or Type) Name: Mailing Address: City: State: Zip: Primary Phone: Secondary Phone: Are you a United States citizen? If not, Visa Status: Gender: Male Female Racial / Ethnic Background. Please choose all that apply: Caucasian Asian / Pacific Islander African American Hispanic American Indian / Alaska Native This program is aimed at increasing ethnic and racial diversity within corporate legal departments. Applicants should be members of minority groups traditionally underrepresented in the legal profession. Page 1 of 7
2 II. Academic Information: Name of Law School Currently Enrolled? Yes No Full-time Part-time Anticipated Graduation Date Class Level Entering in Fall 2015 (2L or 3L) Overall GPA and Class Rank (if applicable or known) Name of Undergraduate Institution Overall GPA Graduation Date Degree Describe any academic awards you received in undergraduate or law school. (Attach an additional sheet if necessary.) Please attach a current (official or unofficial) law school transcript. III. Financial Information: Have you qualified for financial aid? Yes No Has it been necessary for you to work in order to attend law school? Yes No IV.. Extra-Curricular Activities: Describe your role in any extra-curricular activities in undergraduate or law school, specifying any leadership roles and any awards received. (Attach an additional sheet if necessary.) Page 2 of 7
3 V. Personal Essay and Writing Sample: Write a brief essay ( words, typed on 8x11 inch paper) to explain why you qualify for this internship and what you hope to gain from the experience. Please include such things as any significant community service with which you have been involved, any leadership roles and awards received, and any other background information that you believe is important to the consideration of your application. In addition to the personal essay, please attach a writing sample from law school. VI. Practice Area of Interest: Please list any particular area(s) of practice in which you would like to gain experience this summer, or whether you have specialized industry knowledge or interest: VII. Legal Experience: Please describe any relevant legal experience and/or attach a current resume. VIII. Letter of Recommendation: You may either provide a copy of a reference letter that you have on file or ask an academic advisor, dean, or professor or employer/supervisor to complete the Personal Recommendation Request (provided with this application). If you choose to submit the Personal Recommendation Request, please complete the top portion before giving the form to your reference. The reference should answer all of the questions on the form. The letter of recommendation must be submitted directly to C y n t h i a W h i t e, Diversity Committee Chair, c/o GlaxoSmithKline, 5 Crescent Drive, NY0300, Philadelphia, PA or cynthia.r.white@gsk.com with copy to: to philly.chapt.asst@accglobal.com and received no later than February 12, Page 3 of 7
4 IX. Certification: All information on this application is true and complete to the best of my knowledge. I understand this information and all supporting documentation becomes the property of ACC Greater Philadelphia for use in the Diversity Corporate Summer Internship Program. I hereby give my consent to have my grades, application materials, and transcripts released to ACC Greater Philadelphia and its representatives or other persons participating in or responsible for the administration of this program. I also give consent to my name being released as a participant in this program and included by ACC Greater Philadelphia in publications and materials related to this program. If I do not intend to participate in the Internship Program after applying, I agree that I will contact C y n t h i a W h i t e at cynthia.r.white@gsk.com to withdraw my application as soon as possible. Signature Date Page 4 of 7
5 ACC GREATER PHILADELPHIA 2016 DIVERSITY CORPORATE SUMMER INTERNSHIP PROGRAM PERSONAL RECOMMENDATION REQUEST Name of Applicant: Waiver of Claim to Access I understand that this personal recommendation will be used in the review process for the ACC Greater Philadelphia Diversity Corporate Summer Internship Program. I hereby waive any claim to access this recommendation form. Date Signature of Applicant Evaluator Questions We solicit your candid appraisal of the above-named applicant for participation in the ACC Greater Philadelphia Diversity Corporate Summer Internship Program, which provides summer internships for law students in the legal departments of local companies and organizations. In your letter of recommendation, we would appreciate if you would focus on the questions we have set forth below. The applicant has signed this form above to indicate his or her waiver of any claim to access your recommendation. All letters of recommendation (please include this form) should be sent to Cynthia White, Diversity Committee Chair, c/o GlaxoSmithKline, 5 C r e s c e n t D r i v e, NY0300, Philadelphia, PA or cynthia.r.white@gsk.com with a copy to: philly.chapt.asst@accglobal.com and received no later than February 12, Thank you in advance for taking the time to assist us. 1. How long have you known the applicant? In what capacity? Page 5 of 7
6 2. Based on your personal knowledge of the applicant, how qualified do you feel to appraise the applicant? 3. To what degree do you believe the applicant has the intellectual ability, personal integrity, personal skills and necessary motivation to become a successful member of the legal profession? 4. What do you perceive as the applicant s strengths? 5. What do you perceive as the applicant s weaknesses? Page 6 of 7
7 6. Do you know of any special circumstances in the applicant s social or academic background, personality, or experience that should be considered in evaluating the likelihood of the applicant s success in a legal career? 7. Please add any additional information you think would be relevant to us in making our decision. Page 7 of 7
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ALSO AVAILABLE ONLINE HTTP://WWW.HNEF.ORG Nursing Scholarship Program High School Seniors & College Nursing Program Applicants Thank you for your interest in the Healthcare and Nursing Nursing Scholarship
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Admission Process Checklist Send these five items to Apostolic School of Theology: 1. A completed graduate application for admission. 2. An application fee in the form of a check, credit card, or money
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