Application Form
I am applying for (please check):
Exchange Semester at Chicago-Kent (Approved Partner Schools Only)
1.
Select Your School
*
Select Your School
Argentina - Universidad Torcuato Di Tella
China - Central University of Finance and Economics
China - Southwest University of Political Science and Law
Colombia-Universidad de los Andes
Colombia- Universidad Sergio Arboleda
Denmark - University of Copenhagen
France - University of Metz
France - University of Paris II
Germany - University of Augsburg
Germany - Bucerius University
India- Amity Law School
India- National Law University, Delhi
Korea - Konkuk University
Korea - Sookmyung Women's University
Mexico - Tec de Monterrey Institute
New Zealand - University of Waikato
Norway - University of Oslo
Poland - University of Gdańsk
Poland- University of Lodz
Poland - Catholic University of Lublin
Poland - University of Wrocław
Spain - University of Navarra
Switzerland - University of Zurich
2.
Birthdate: (mm/dd/yyyy)
---- Month ----
---- Day ----
---- Year ----
3.
Year of Entering:
4.
Mr. *
Ms. *
5.
Home Address
6.
Office Address:
7.
May we contact you at work?
Yes
No
8.
Gender
* :
Male
Female
9.
State of legal residence * :
Alabama
Alaska
American Samoa
Arizona
Arkansas
Army Postal
California
Colorado
Connecticut
Delaware
District of Columbia
Every State
Fed. States of Micronesia
Florida
Foreign
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Postal Code II
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
10.
Country of citizenship * :
ADEN (YEMEN)
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
AZORES
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BASUTOLAND
BECHUANALAND
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA/HERZEGOVINA
BOTSWANA
BRAZIL
BRUNEI
BULGARIA
BURKINA FASO
BURMA
BURUNDI
BYELARUS
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA, PEOPLES REPUBLIC OF
COLOMBIA
CONGO
COSTA RICA
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
ENGLAND
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FIJI
FINLAND
FRANCE
FRENCH GUIANA
GABON
GAMBIA
GAZA STRIP
GEORGIA
GERMANY
GHANA
GILBERT ISLANDS
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
INTERNATIONAL
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
IVORY COAST
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAOS PEOPLE'S DEM. REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINQUE
MAURITANIA
MAURITIUS
MEXICO
MICRONESIA, FEDERATED STATES
MIDWAY ISLANDS
MOLDOVA
MONACO
MONGOLIA
MONTENEGRO
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW GUINEA
NEW HEBRIDES
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORTH KOREA
NORTHERN IRELAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
OTHER
PAKISTAN
PALESTINE
PALUA
PANAMA
PAPAU NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
PUERTO RICO
QATAR
ROMANIA
RUSSIA
RWANDA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SCOTLAND
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SIKKIM
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTHWEST AFRICA
SPAIN
SRI LANKA
ST. KITTS
ST. PIERRE/MIQUELON
ST. VINCENT AND THE GRENADINES
SUDAN
SURINAME
SVALBARD
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
TASMANIA
THAILAND
TIBET
TOGO
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES OF AMERICA
UPPER VOLTA
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
VIRGIN ISLANDS, U. S.
WALLIS AND FUTUNA
WEST INDES FEDERATION
WESTERN SAMOA
YEMEN PEOPLE'S DEM. REPUBLIC
YUGOSLAVIA
ZAIRE
ZAMBIA
ZIMBABWE
If not USA, give visa status:
Permanent resident
F1 student
Other visa:
11.
City of birth * :
12.
State of birth (US only):
Alabama
Alaska
American Samoa
Arizona
Arkansas
Army Postal
California
Colorado
Connecticut
Delaware
District of Columbia
Every State
Fed. States of Micronesia
Florida
Foreign
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Postal Code II
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
13.
Country of birth * :
ADEN (YEMEN)
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
AZORES
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BASUTOLAND
BECHUANALAND
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA/HERZEGOVINA
BOTSWANA
BRAZIL
BRUNEI
BULGARIA
BURKINA FASO
BURMA
BURUNDI
BYELARUS
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA, PEOPLES REPUBLIC OF
COLOMBIA
CONGO
COSTA RICA
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
ENGLAND
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FIJI
FINLAND
FRANCE
FRENCH GUIANA
GABON
GAMBIA
GAZA STRIP
GEORGIA
GERMANY
GHANA
GILBERT ISLANDS
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
INTERNATIONAL
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
IVORY COAST
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAOS PEOPLE'S DEM. REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINQUE
MAURITANIA
MAURITIUS
MEXICO
MICRONESIA, FEDERATED STATES
MIDWAY ISLANDS
MOLDOVA
MONACO
MONGOLIA
MONTENEGRO
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW GUINEA
NEW HEBRIDES
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORTH KOREA
NORTHERN IRELAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
OTHER
PAKISTAN
PALESTINE
PALUA
PANAMA
PAPAU NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
PUERTO RICO
QATAR
ROMANIA
RUSSIA
RWANDA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SCOTLAND
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SIKKIM
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTHWEST AFRICA
SPAIN
SRI LANKA
ST. KITTS
ST. PIERRE/MIQUELON
ST. VINCENT AND THE GRENADINES
SUDAN
SURINAME
SVALBARD
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
TASMANIA
THAILAND
TIBET
TOGO
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES OF AMERICA
UPPER VOLTA
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
VIRGIN ISLANDS, U. S.
WALLIS AND FUTUNA
WEST INDES FEDERATION
WESTERN SAMOA
YEMEN PEOPLE'S DEM. REPUBLIC
YUGOSLAVIA
ZAIRE
ZAMBIA
ZIMBABWE
14.
Please identify your racial and ethnic background by checking one
or more of the following boxes: *
15.
Next of kin/Contact person in the U.S.
Relationship
15a.
Next of kin/Contact person outside the U.S.
Relationship
QUESTIONS 16-18
Lawyers are held to the highest ethical standards. The
failure to disclose an act or event such as the ones described
below is often more significant, and leads to more serious consequences,
than the act or event itself. Failure to provide truthful
answers, or failure to inform the Office of International Law and Policy
of any changes in your answers, may result in revocation of admission
or disciplinary action by the College of Law. An affirmative
response does not necessarily prejudice your admission to Chicago-Kent.
16.
Have you ever been convicted of, plead guilty or nolo contendre
to, or received a period of supervision for, any offense other than
a minor traffic or parking violation, or is any charge now pending
against you concerning such an offense? (A "minor
traffic violation" is a violation for which only a citation
was issued, e.g. speeding. You must report any other
traffic offense, including any offense in which acting under the
influence of a drug or alcohol was an element of the offense.) You
must disclose each instance regardless of whether a conviction was
reversed, set aside or vacated, or the record sealed or expunged.
Yes
No
If yes, give details below.
17.
Have you ever been dropped, suspended, placed on academic or social
probation or warning, or otherwise disciplined by any college or
university, for any reason?
Yes
No
If yes, give details below.
18.
Have you ever been suspended, placed on probation or warning, or
otherwise disciplined by any professional organization or state
agency charged with reviewing professional conduct or are any charges
or proceedings that could culminate in such sanctions pending?
Yes
No
If yes, give details below.
19.
Do you consider English to be your primary language?
Yes
No
If English is not your primary language, when did you take or when do you plan to take the Test of English as a Foreign Language (TOEFL) or other internationally recognized standardized test of English proficiency? (If you intend to request a waiver of this test score requirement, see #20).
Date
TOEFL Score
20.
Exchange students must be nominated by their home institutions and the home institution may certify your English proficiency. Please indicate below if you believe you will be certified as proficient in English by your home institution.
21.
Please list in chronological order all high schools, colleges,
universities, graduate and/or professional schools you have attended,
including all part-time or summer programs, whether or not you received
credit or were a candidate for a degree.
22.
In what states and/or countries have you been admitted to practice (if any):
(give year of admission)
23.
Please list any areas of special interest in the law (for example,
intellectual property or criminal law):
24.
List all scholastic or academic honors you have received including
scholarships, fellowships, prizes, honor societies, publications,
etc.
25.
Please list no more than three extracurricular, community, or
professional activities which have been important to you.
Briefly describe each activity and your contribution (including number of
hours per week) to that activity.
26.
Employment record: List (most recent first) full-time, part-time
and summer employment, including military service. (Use a separate
sheet, if necessary, or submit a resume.)
Describe your responsibilities in your current position:
27.
Has any member of your family attended IIT?
Yes
No
Chicago-Kent?
Yes
No If yes, what is this person's name, year of graduation, and
relationship to you?
Name:
Year of Graduation:
Relationship:
APPLICANT'S STATEMENT:
REQUIRED OF ALL APPLICANTS
You should write a statement describing yourself and your qualifications,
including the professional goals which you expect to advance by studying in the U.S. for a semester. You may wish to explain or emphasize a particular
part of your transcript or application. You are invited to
inform the Committee of achievements and qualities not otherwise revealed
by the application. Attach a
separate sheet if necessary.
I.
I certify, to the best of my knowledge, that all statements submitted
are correct, complete, and my own work, and that I will notify
Chicago-Kent of any changes in the information contained herein arising
prior to my matriculation to the law school (whether or not the Committee
has already acted on my application.)
I understand that failure to supply accurate, complete, and updated
information may result in a filing of Applicant Misconduct with
LSAC, withdrawal of any offer of admission or cancellation of
registration, and may be a violation of the Chicago-Kent College
of Law Code of Conduct and may also jeopardize my eventual admission
to the bar. I understand that this application and
also other records gathered for my admission file are confidential
and will be handled in accordance with the Family Educational
Rights and Privacy Act of 1974 (Buckley Amendment).
I agree: (check box if complying)
II.
If this application for admission is approved, I agree to comply
with all rules and regulations of the law school as published in
the Student Handbook. I also acknowledge that I will
comply with the Chicago-Kent College of Law Code of Conduct.
I agree: (check box if complying)
III.
If admitted to IIT, I hereby authorize the Director of Student Health
at Illinois Institute of Technology, or any physician approved by
the director, to examine me and treat me in cases of emergency when
the Medical Department or the dean has been unable to get in touch
with my parents, guardian, or spouse. (A student who for religious
reasons does not wish to sign this statement should write to the
Director of Admissions. Some churches have forms which
may be used by students requesting exemption from medical provisions.)
I agree: (check box if complying)