APPLICATION FOR ADMISSION TO THE GRADUATE LAW PROGRAMS FOR U.S ...

[Pages:3]U.S. EDUCATED APPLICANTS 2023 | APPLICATION FOR ADMISSION

Graduate Admissions: +1-202-662-9010 | lawllmadmis@georgetown.edu | law.georgetown.edu/admissions-financial-aid/

There is an application fee of $90 for all graduate degree and certificate programs. Late applications will be assessed a fee of $100. If you plan to submit a paper application, the payment must be submitted online.

APPLICATION FOR ADMISSION TO THE GRADUATE LAW PROGRAMS FOR U.S. EDUCATED APPLICANTS NOTE: This form is to be used by applicants to the Master of Laws and/or Certificate programs only. It should not be used by applicants to the Juris

Doctor Program, SJD, or the Master of Laws in Advocacy offered through the Law Center Clinics and Institutes. Persons interested in clinical fellowship programs should write directly to the appropriate institute or clinic. Fields marked with an asterisk(*) are required.

PREFIX Mr. Ms. Dr. Prof. GENDER Male Female Self identify:

*Last Name

*First Name

Middle Name

Maiden/Former Name

U.S. Social Security Number (U.S. Citizens and permanent residents) or LSAC Account Number Preferred Name/Nickname

Mailing Address* (all mail will be sent to this address unless and until you notify us of any change)

Alternate Address (optional)

City*

State

Zip Code

City

State

Zip Code

Country*

Country

Present Business Number

Present Home Number*

Cellular Number

Permanent Home Number

Permanent E-mail Address

Alternate E-mail address (optional)

Native Language*

Name of Parents or Spouse (optional: for contact purposes)

Country of Birth*

Address of Parents or Spouse

Date of Birth*

Telephone Number of Parents or Spouse

Check the appropriate boxes below: Full-Time Part-Time ReApplicant

Check this if you applied for Fall 2022 Early Action: January 5 Application Deadline Regular Action: February 10 Application

Deadline

Please indicate the program to which you are applying (mark only one): LL.M. in Environmental & Energy Law LL.M. in National & Global

Health Law LL.M. in Global Health Law & Governance LL.M. in International Business &

Economic Law LL.M. in National Security Law LL.M. in Taxation LL.M. in Technology Law and Policy Taxation LL.M. (online)

Stand Alone Certificates Certificate in Employee Benefits Law

(On Campus) Employee Benefits Law (Online) Certificate in Estate Planning (On Campus) Certificate in Estate Planning (Online) Certificate in Food and Drug Law Certificate in Securities & Financial Law Certificate in State & Local Taxation

(On Campus) Certificate in State & Local Taxation

(Online) Certificate in International Taxation

(On Campus) Certificate in International Taxation (Online) Certificate in U.S. Health Law

Certificates in Combination with LLM Please indicate your interest in a Certificate in conjunction with your LL.M. degree (available degree / certificate combinations are listed on the Certificates page of our website).

Certificate in Estate Planning

Certificate in Employee Benefits Law Certificate in Food & Drug Law Certificate in International Arbitration &

Dispute Resolution Certificate in International Human Rights

Law Certificate in International Taxation Certificate in U.S. Health Law Certificate in WTO Law Certificate in Refugees & Humanitarian

Emergencies Certificate in Securities & Financial Law

Fellowships Please indicate if you are applying to any of the following. Make sure to include along with your applications the required supplemental essay.

Global Health Law Scholarship Graduate Tax Scholars Program National Security Law Fellowship International Arbitration Scholars Program UNEP Environmental Law Fellowship John H Jackson Moot Scholarship

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U.S. EDUCATED APPLICANTS 2023 | APPLICATION FOR ADMISSION

Relatives who have attended or are attending Georgetown

Name

Relationship

School (at GU)

Class

Are you Hispanic or Latino?

Yes

No

If yes, select an ethnicity Hispanic Latino

What is your race? Select one or more races to indicate what you consider yourself to be. Aboriginal or Torres Strait Islander Australian American Indian Asian Black or African American Canadian Aboriginal

Caucasian or White Native Hawaiian/Other Pacific Islander

Puerto Rican

Decline to respond

(Optional) LGBTQ+ Identity: If you wish to identify as LGBTQ+, please check the box below. (Please note that application information will not be shared outside of the admissions office and admissions committee)

I identify as LGBTQ+

(Optional) Trans or Non Binary Identity: If you wish to identify as trans or non binary, please check the box below. (Please note that application information will not be shared outside of the admissions office and admissions committee)

I identify as trans or non binary

(Optional) If you would like us to share your contact information with OutLaw (the law school's LGBTQ+ student organization, whose email is outlaw@ georgetown.edu) and the Office of Equity and Inclusion, please check the box below.

I would like to share my contact information

If your answer to any of these questions is "yes," please explain fully on additional pages.

Have you ever applied for admission to Georgetown University Law Center? If so, for what degree and when?

Have you ever enrolled in Georgetown's Non-Degree Program? If so, when? Please list course(s).

Have you ever been subject to any academic or disciplinary actions, or are charges pending at any school or college?

Have you ever taken a bar examination and been admitted to practice? If so, in what state(s) and when?

Have you ever failed a bar examination? If so, in which state(s) and when?

Have you ever been suspended or disbarred?

Have you ever been convicted of any criminal offense?

Is any charge pending against you for any crime other than a traffic violation?

Have you served or are you serving on active military duty?

Date of entrance

Branch

Date of discharge

Rank

Discharge type

Have you ever been separated from a branch of the armed forces of the United States under conditions other than favorable?

Answer YES or NO Yes

Yes

No No

Yes Yes

Yes

Yes Yes Yes Yes

No No

No

No No No No

Yes

No

Please check the box that applies to you:*

United States citizen Permanent Resident Status from U.S. Citizenship and Immigration Services (USCIS) International Student (non-U.S. citizen)

Visa type if currently in the U.S.

Citizenship

NOTE: Non-U.S. citizens will be required to verify their immigration status to Georgetown once admitted.

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U.S. EDUCATED APPLICANTS 2023 | APPLICATION FOR ADMISSION

Please check the following items that you have submitted with your application: Application fee ($90; $100 for late application) Resume Personal Statement Registrar's Certification Letters of Recommendation TOEFL score (required of all non-native speakers of English) Transcripts Law Undergraduate Masters PhD

By transmitting this application electronically, I certify that the statements made in this application for admission to Georgetown University Law Center ("Georgetown Law") are complete and accurate. I understand that I am under a continuing obligation to provide accurate, current and complete information and will promptly inform Georgetown Law, in writing, if there are any changes in any of the facts indicated herein. I understand that providing false, misleading or incomplete information will result in immediate revocation of any offer of admission. If admitted, I am aware that academic institutions (post-secondary) that I have previously attended will be contacted to verify that I have not been subjected to any disciplinary action or academic censure.

I further understand that if Georgetown Law believes that I have provided false or misleading information, Georgetown Law may report it, pursuant to the LSAC Admission Council Rules Governing Misconduct and Irregularities in the Admission Process. If misconduct or an irregularity is determined as a result of the investigation, all law schools to which I have applied, or may apply, will be notified. Georgetown Law reserves the right to withdraw an offer of admission or take any other action, for reasons including, but not limited to, if an applicant engages in behavior that is dishonest or evidences lack of integrity or trustworthiness.

Signature of Applicant

Date

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