Bay Area Underserved Law Student Scholarship Application

Applications are now open and the deadline to submit is 5/31/2024. Recipients will be selected in July. Please complete this application form no later than Friday, May 31, 2024 to be considered for the Bay Area Underserved Law Student Scholarship program.

Official transcript(s) from all undergraduate and graduate schools (if applicable) must be sent directly to JDCLawStudentScholarship@sfbar.org.

1. PERSONAL INFORMATION
Please note: All information provided will be kept confidential and may be subject to verification. Please provide information in all designated areas, unless otherwise noted, to facilitate review by the selection committee and to ensure your application is complete. If answer is “none” or “not applicable,” please indicate as such.
Name*
First Last
Date of Birth*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
College*
I have been admitted to (check all that apply):*
- UC Berkeley
- UC College of the Law, San Francisco
- University of San Francisco
- Santa Clara
- Stanford
I have accepted admission to a San Francisco Bay Area Law School.*
Name of school I notified the school on:
LSAT score*
Final LSAT score Date exam taken
Schools Attended*
From To Name, City and State of School Attended Major Degree awarded GPA
Work Experience*
From To Name, City and State of Employer Position Held

List your work experience, including part-time and/or summer positions, present employer first. (In addition, you may attach a current copy of your résumé, but this section below must also be completed).
College Organization Activities*
Organization Years Involved/amount of time each year Roles and Responsibilities (one sentence max.)

Attach an additional sheet using same format, if necessary.
Non-College Community Service Activities*
Organization Years Involved/amount of time each year Offices Held and Duration of Tenure

During the last five years. Attach an additional sheet using same format, if necessary.
Honors or Awards received*
Honor/Award Name Year Received Description of Honor/Award (one sentence max.)

Attach an additional sheet using same format, if necessary.
Are you the first person in your immediate family to have attended college?*
- yes
- no
Are you the first person in your immediate family to have graduated from college?*
- yes
- no
Are you the first person in your immediate family to attend graduate school?*
- yes
- no
Have you participated in any of JDC’s Destination Law School events/programs?*
- yes
- no
Professional References*
Name Relationship Email Phone

Please list three personal references. (Please do not list relatives)
2. FINANCIAL INFORMATION & FINANCIAL EDUCATION HISTORY
Please list the following information:*
Upcoming loans in repayment amount Current student loan debt amount Other financial aid or assistance received/anticipated
GRANTS AND SCHOLARSHIPS (Undergraduate and/or graduate school other than law school)
Grant/Scholarship Name Total Amount Awarded Yearly Amount Academic Year Received

Please list current and all undergraduate/graduate grants/scholarships here
LOANS (Undergraduate and/or graduate school other than law school)*
Name of Loan Total Amount Yearly Amount Academic Year Received

Please list current and all undergraduate/graduate loans here
GRANTS AND SCHOLARSHIPS (Law School)*
Grant/Scholarship Name Total Amount Awarded Yearly Amount Duration of Award: Ex. Yearly

Please list grants and scholarships promised and applied for, for the next academic law school year. Please add attachments as needed.
LOANS (Law School)*
Loan Total Amount Yearly Amount Duration of Loan

Please list grants and scholarships promised and applied for, for the next academic law school year. Please add attachments as needed.
APPLICANT FINANCIAL STATUS
A) Do you receive veteran benefits or income?*
- yes
- no
B) Are you married?*
- yes
- no
C) Are you separated?*
- yes
- no
D) Do you have any legal dependents?*
- yes
- no
E) Did you file a 1040/1040A/1040EZ IRS tax form last year?*
- yes
- no
Please include last year’s tax form(s) with this application and complete all the sections below that are applicable to you. If you did not and will not file a 1040/1040A/1040EZ IRS tax form last year, please complete all the sections below that are applicable to you.
F) Did your parent(s)/guardian(s) file a 1040/1040A/1040EZ IRS tax form last year?*
- yes
- no
If you answered “No” to questions A, B and C above, please include your parent(s)/guardian(s) tax forms from last year with this application and complete all the sections below that are applicable to you and your parent(s)/guardian(s). If your parent(s)/guardian(s) did not, and will not file a 1040/1040A/1040EZ IRS tax form, please complete all sections below that are applicable to you and your parent(s)/guardian(s).
APPLICANT’S 2024 FINANCIAL CONDITION
(Add spouse, if applicable)
Current hourly wage and/or salary amount*
Applicant Spouse (if applicable)
Total expected income for this year*
Applicant Spouse (if applicable)
Months expected to work*
Applicant Spouse (if applicable)
Checking account balances*
Applicant Spouse (if applicable)
Money market balances, stocks, bonds, CDs or other investments*
Applicant Spouse (if applicable)
Savings account balances*
Applicant Spouse (if applicable)
Monthly rent payment*
Applicant Spouse (if applicable)
Do you own a home, or other real estate?*
- Yes
- No
If yes, current value?
Current mortgage balance*
Applicant Spouse (if applicable)
Monthly mortgage payment*
Applicant Spouse (if applicable)
Do you own a business (either in part or in full)?*
- Yes
- No
If yes, please describe:
Trust funds received or to be received*
Applicant Spouse (if applicable)
Retirement account balances*
Applicant Spouse (if applicable)
INCOME
INCOME [REFER TO YOUR IRS TAX FORM(S) WHERE APPLICABLE]
IRS Tax Form Filed
1040, total income, line 22*
Single by Applicant Single by Spouse Jointly
1040EZ, adjusted gross income, line 4*
Single by Applicant Single by Spouse Jointly
1040A, total income, line 15*
Single by Applicant Single by Spouse Jointly
If you did not and will not file an IRS tax form(s) last year, please fill out the following:
Last year’s earned income
Applicant Spouse
Last year’s untaxed income
Applicant Spouse
Last year’s interest/dividend income
Applicant Spouse
UNTAXED INCOME AND BENEFITS
Social Security benefits*
Single by Applicant Single by Spouse
Temporary Assistance for Needy Families (TANF)*
Single by Applicant Single by Spouse
Aid to Families with Dependent Children*
Single by Applicant Single by Spouse
Child support received*
Single by Applicant Single by Spouse
Other public assistance*
Single by Applicant Single by Spouse
Other income**
Single by Applicant Single by Spouse
*Please explain other income:
DEPENDENTS/DEPENDENT CARE
Refer to your IRS tax form(s) where applicable
IRS Tax Form Filed
1040 or 1040A, line 6d*
Single by Applicant Single by Spouse Jointly
1040 or 1040A, form 2441, part II, line 3*
Single by Applicant Single by Spouse Jointly
The number of dependents you and your spouse (if applicable) have?*
INCOME FROM ASSETS
IRS Tax Form Filed
1040 or 1040A:
Taxable interest income, line 8a*
Single by Applicant Single by Spouse Jointly
Tax exempt interest, line 8b*
Single by Applicant Single by Spouse Jointly
Dividends, line 9*
Single by Applicant Single by Spouse Jointly
1040 EZ:
Taxable interest income, line 2*
Single by Applicant Single by Spouse Jointly
FINANCIAL CONDITION OF PARENT(S)/GUARDIAN(S)
(Either or both parents/guardians as applicable)
Will you be receiving any financial assistance from your parent(s)/guardian(s) for this academic year?*
- Yes
- No
If yes, please list the anticipated amount:
Checking/money market account balances:
Savings account balances:
Parent(s’)/Guardian(s’) occupations:
Do your parent(s)/guardian(s) own a home or real estate?
- Yes
- No
If yes, current value:
Current mortgage balance:
Monthly mortgage payment:
YOUR PARENT(S)/GUARDIAN(S) INCOME
(Refer to IRS Tax Form(s) as applicable)
IRS Tax Form Filed
1040, adjusted gross income, line 37
Parent #1 Parent #2 Jointly
1040EZ, adjusted income, line 4
Parent #1 Parent #2 Jointly
1040A, adjusted gross income, line 21
Parent #1 Parent #2 Jointly
If your parent(s)/guardian(s) did not and will not file a IRS tax form, please fill out the following:
Last year’s earned income
Parent #1 Parent #2
Last year’s untaxed income
Parent #1 Parent #2
Last year’s interest/dividend income
Parent #1 Parent #2
Other income*
Parent #1 Parent #2
*Please explain other income:
YOUR PARENT(S)/GUARDIAN(S) EXEMPTIONS
(Refer to your parent(s)/guardian(s) IRS tax form(s) from last year as applicable.)
Last year’s IRS Tax Form Filed
1040, line 6d
Parent #1 Parent #2 Jointly
1040A, line 6d
Parent #1 Parent #2 Jointly
If your parent(s)/guardian(s) did not and will not file an IRS tax form(s) last year, how many exemptions would they have claimed had they filed?
Your Parent(s)/Guardian(s) Untaxed Income and Benefits
Social Security benefits
Parent #1 Parent #2
Aid to Families with Dependent Children (AFDC)
Parent #1 Parent #2
Child support received
Parent #1 Parent #2
Other public assistance
Parent #1 Parent #2
Other income*
Parent #1 Parent #2
*Please explain other income:
REQUIREMENTS FOR YOUR APPLICATION TO BE REVIEWED
Please upload the following documents to this completed application. Your application will be incomplete and will not be considered if any of the following documents are not included.
Official transcript(s)
Drop files here or

Max. file size: 50 MB.
Official transcript(s) from all undergraduate and graduate schools (if applicable). No copies will be accepted. Transcripts must be sent directly to JDCLawStudentScholarship@sfbar.org.
A personal statement, up to 500 words
Max. file size: 50 MB.
A personal statement, up to 500 words, stating obstacles, adversity, or disadvantages you have overcome in pursuing your education and what qualities and talents you would bring to the legal profession. Please note: Due to the number of applications we receive, the review committee will not read statements beyond the 500 word limit.
Statement of economic need (not to exceed 250 words)
Max. file size: 50 MB.
Statement of economic need (not to exceed 250 words) stating your or your parents’/guardians’ current financial situation and/ or your financial need.
Copies of last year’s IRS tax form(s) if you did or will file IRS tax forms
Max. file size: 50 MB.
Copies of last year’s IRS tax form(s) if you did or will file IRS tax forms.
A copy of a letter or letters of admission from any of the San Francisco Bay Area Law Schools
Max. file size: 50 MB.
A copy of a letter or letters of admission from any of the San Francisco Bay Area Law Schools listed above.
A copy of your current resume.
Max. file size: 50 MB.
Note: No other material, besides the above items, will be reviewed by the selection committee.
Application Packet Submission
*
- I declare under the penalty of perjury that the information I have provided is true and correct to the best of my knowledge.
Name*
First Last
Date*
MM slash DD slash YYYY
Scholarship recipients will be notified by end of July and invited to a reception.

Name of school	I notified the school on:

Final LSAT score	Date exam taken

From	To	Name, City and State of School Attended	Major	Degree awarded	GPA

From	To	Name, City and State of Employer	Position Held

Bay Area Underserved Law Student Scholarship Application

1. PERSONAL INFORMATION

2. FINANCIAL INFORMATION & FINANCIAL EDUCATION HISTORY

APPLICANT FINANCIAL STATUS

APPLICANT’S 2024 FINANCIAL CONDITION

INCOME

DEPENDENTS/DEPENDENT CARE

INCOME FROM ASSETS

FINANCIAL CONDITION OF PARENT(S)/GUARDIAN(S)

YOUR PARENT(S)/GUARDIAN(S) INCOME

YOUR PARENT(S)/GUARDIAN(S) EXEMPTIONS

Your Parent(s)/Guardian(s) Untaxed Income and Benefits

REQUIREMENTS FOR YOUR APPLICATION TO BE REVIEWED

Application Packet Submission