Online Fellowship Application

Applications and all supporting documents (references, curriculum vitae, etc.) must be postmarked or received electronically on the date due (April 15, 2010).

Mailing Address:

Mary Jane Ciccarello, Assistant Director
The Borchard Foundation Center on Law & Aging
335 4th Avenue
Salt Lake City, Utah 84103

Borchard Fellowship Application
  1. APPLICANT INFORMATION
  2. First Name(*)
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  3. Last Name(*)
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  4. Address(*)
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  5. City(*)
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  6. State(*)
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  7. Zip Code(*)
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  8. Phone Number(*)
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  9. Fax Number
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  10. Email Address(*)
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  11. PROJECT INFORMATION

    Please upload your project information in a Word Doc or pdf.

    Please prepare all of your document titles to have your last name and first name plus obvious name of the document. Do NOT use spaces or characters in the name of the document (except hyphens such as -).

    Example: Doe-John-Project-Information.doc
    Example: Doe-John-CV.pdf
    Example: Doe-John-Transcript.pdf
    Example: Doe-John-Reference-Letter-1.pdf
  12. Upload Project Information(*)
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  13. CV AND LAW SCHOOL TRANSCRIPT

    Please upload your curriculum vitae and law school transcripts.

  14. Upload Curriculum Vitae(*)
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  15. Law School Transcript(*)


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  16. Upload Transcript
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  17. SUPERVISING ATTORNEY OR LEGAL SERVICES ORGANIZATION
  18. Please provide name, address, and contact information of supervising attorney or legal services organization.
  19. Name(*)
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  20. Firm/Organization(*)
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  21. Address(*)
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  22. City(*)
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  23. State(*)
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  24. Zip Code(*)
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  25. REFERENCES
    Please provide 3 letters of support, including one from your supervising attorney or legal services organization. May be mailed or uploaded below.
  26. Reference Letter 1
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  27. Reference Letter 2
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  28. Reference Letter 3
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