DRS Diversity Scholarship Application

For the full criteria for this scholarship, please see the Dispute Resolution Section website.

For questions about the scholarship program, contact Simone Smith at ssmith@nysba.org.

[Note: Attorneys who are not eligible for a diversity scholarship may apply for tuition assistance to attend these training programs based on genuine financial hardship. Those interested should contact Holly Hirsch for a tuition assistance application: 518-487-5586 or at hhirsch@nysba.org.]

1.Which scholarship you are applying for:

Mediation Training

Arbitration Training

2.Applicant Information

Name

Company

Title

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

*3.Are you admitted to practice law in the state of New York?(Required.)

Yes

*4.If yes, what is your New York Bar ID number?(Required.)

5.Resume or CV

No file chosen

6.Diversity Information

Gender

Race/Ethnicity

Disability

Sexual Orientation

7.Employment Status

Employee of a Corporation (list company/your title)

Full-Time Employee of a Not-for-Profit Organization (list organization)

Local, State or Federal Government Staff Attorney (list agency)

Employee of a Law Firm (list name of firm, # of attorneys, your title)

Public Interest Lawyer (list organization)

Solo Practitioner

Unemployed

Other (please specify)

8.State how the arbitration and/or mediation training applies to your practice and describe your interest in ADR:

9.Please explain if you are in financial need of a scholarship

10.I affirm that the information provided in this application is true and accurate to the best of my knowledge

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