Application for ScholarshipPaul D. White

www.bakerlaw.com

To apply to the Cleveland Office please return to:

Kylie Karpel, Legal Recruitment and Special Events ManagerKey Tower

127 Public Square, Suite 2000Cleveland, OH 44114-1214

kkarpel@bakerlaw.com

No later than: January 19, 2018

Please fill in the following information and return it with your résumé and personal statement.

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SS Name (Last)       (First)       (Middle)      

Other name(s) presently or formerly used:      

Address:      

City       State       Zip      

Home Phone (     )       SS #       -       -      

Cell Phone (     )      

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NT Please write a brief statement (no more than two pages) containing any information you believe relevant for our

consideration in the selection process, including what you hope to gain from being a scholarship recipient and thus having a summer clerkship at a law firm such as BakerHostetler.

Please attach your personal statement to this application form.

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College or University                  

Name City State

Major Field       Degree       G.P.A.      

Law School-First Semester Grades (If not available by scholarship deadline, please forward transcript under separate cover when available.)

          

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Please list two (2) references: One from your current or a former employer and one from a professor you have worked with during your time at law school. For each reference, include complete contact information, the individual’s title/position

Reference 1 Reference 2

Name of Reference            

Address/Phone number            

Company            

Title/Position            

Relationship to You/Years know            

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Include any periods of unemployment. Give complete names and addresses. If self employed, give firm name and one business reference. List your last three employers starting with the most recent employer first. Attach any additional information on a separate sheet.

Last or Present Next Previous Next Previous

Name of Employer                  

Address                  

Type of Business                  

Title/Position                  

Nature of Responsibilities                  

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Are you restricted or prohibited from being legally employed in the United States of America? (Proof of employment eligibility is a requirement of employment.) ...…………………….……... □ Yes □ No

Have you ever been employed by BakerHostetler (or one of its predecessor firms)? …….……... □ Yes □ No Have you previously applied for a position with BakerHostetler? …............................................. □ Yes □ No Are any members of your immediate family (immediate family is defined as your spouse,

children [and spouse's children], parents [and spouse's parents] or siblings [and spouse's siblings]) presently employed by or applying for employment with BakerHostetler? .…….......... □ Yes □ No

Have you ever been convicted of or did you plead “guilty” or “no contest” to a crime other than a minor traffic offense? (Exclude offenses that have been sealed or expunged.) If so, please explain fully, including the date and nature of the offense, jurisdiction, sentence imposed/served. Conviction will not automatically bar you from employment……………………………………...□ Yes □ No

Have you timely filed your federal and state of residence income tax returns for the past three years? ……………………………………………………………………………………….....….. □ Yes □ No

Can you perform the essential functions of the job, with or without reasonable accommodation? □ Yes □ No Have you ever been denied government security clearance at any governmental level? ……..…... □ Yes □ No Race/Ethnicity ……………………………………………….....…..………………………………□ American Indian/

Alaskan Native

□ Asian American/ Pacific Islander

□ Black/African American

□ Hispanic

□ Two or more races

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If employed by BakerHostetler, I understand, acknowledge and agree that in the event of my employment byBakerHostetler: My employment will not be governed by any written or oral contract and is considered "at-will," which means that

either the Firm or I may terminate the employment relationship for any reason and at any time, with or without notice, so long as there is no violation of any applicable federal, state or local law. Any current or future Firm policies, procedures or practices will not constitute an employment agreement, either expressed or implied, and cannot modify this at-will arrangement. I understand that only the Executive Partner(s) of the Firm may modify this at-will arrangement and that such modification must be in writing and signed by the Executive Partner(s).

I will be prohibited from disclosing nonpublic information regarding clients, client matters and the Firm to anyone, and from using such information for any purpose other than for authorized Firm business.

I am not aware of any conflict of interest that would be adverse to BakerHostetler or to my employment with the Firm. I understand that the accuracy and completeness of my statements in interviews and on my resume and application

forms will be relied upon by BakerHostetler and that any false statement made by me may be a basis for withdrawing any offer made to me and for terminating my employment, compensation, or benefits to the extent allowed by law.

     Signature Date

Baker & Hostetler LLP is an Equal Opportunity Employer.