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Name

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Permanent Address

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Phone Number

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Email Address (non-NYLS)

I. DEMOGRAPHIC INFORMATION

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A. PROGRAM TYPE AT TIME OF GRADUATION

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B. GENDER

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C. RACE/ETHNICITY (You may check up to two)

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D. DISABILITY

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I. Which state bar exams do you plan on taking?

II. POST GRADUATE EMPLOYMENT STATUS

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A1. Select only ONE of the following to describe your post-graduate status:

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A2(a). Job Information - Type of Job (choose ONE only)

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A2(b). Job is: (check only ONE)

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A2(c). Job pays (Salary OR Stipend):

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A2(d). How will the stipend be paid?

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A2(e). Indicate whether the employer hired you on a short-term or long-term basis. Note that a long-term job from the employer’s perspective may be one that you consider short-term, while, for example, you continue to seek a different job. Please indicate the type of job from the employer’s perspective.

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A2(f). Special funding: Please indicate if the job is funded through:

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A2(g). Indicate whether you are seeking a job other than the one described here

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A2(h). Date on which you started or will start your job

Date

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A2(i). Source of Job: Mark the ONE choice that best describes how you learned of and made initial contact with the employer. If you received an offer from your summer employer, or the employer for whom you worked during law school, indicate how you initially made contact with that employer.

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Timing of offer (mark one)

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B. EMPLOYER INFORMATION (Name and Address of Employer)

COMPLETE B1, B2, AND B3 ONLY IF YOUR PRIMARY JOB WILL BE IN LAW FIRM PRIVATE PRACTICE. IF NOT, SKIP TO B4/B5, B6/B7, B8 or B9/B10 AS APPROPRIATE.

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B1. TOTAL SIZE OF LAW FIRM (Mark only ONE for size of entire firm by total number of attorneys)

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B2. Firm is a public interest law firm (check YES or NO if applicable)

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B3. TYPE OF LAW FIRM JOB (mark ONE only.)

IF JOB IS IN BUSINESS OR INDUSTRY, COMPLETE BOTH B4 AND B5.

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B4. TYPE OF EMPLOYER

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B5. TYPE OF JOB

IF JOB IS IN GOVERNMENT, COMPLETE BOTH B6 AND B7.

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B6. LEVEL OF GOVERNMENT

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B7. TYPE OF JOB

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B8. IF JOB IS IN A PUBLIC INTEREST ORGANIZATION OR OTHER NONPROFIT (Mark ONE item that best describes the primary type of work or job you will be handling)

IF JOB IS IN ACADEMIA/EDUCATION COMPLETE BOTH B9 AND B10.

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B9. Type of Employer

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B10. Type of Job

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