2012 Sidley 1L Diversity Summer Mentorship Program

1.

*Required Information

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* 1. Contact information (current)

Name: *

Address: *

Address 2:

City/Town:

State:

ZIP:

Email Address:

Phone Number:

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* 2. Contact Information (2012 Summer Washington, D.C. area address, if known)

Address:

Address 2:

City/Town:

State:

ZIP:

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* 3. Anticipated Dates in the Washington, D.C. area (if known)

Start Date

Date

Departure Date

Date

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* 4. Race (optional)

Hispanic/Latino

White

Black/African American

Nat. Hawaiian/Other Pacific Islander

Asian/Southeast Asian

American Indian/Alaska Native

2 or More Races

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* 5. Sexual Orientation (optional)

Lesbian

Gay

Transgendered

Bisexual

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* 6. School Information

Law School and Graduation Year

Graduate School and Graduation Year

Undergraduate Institution and Graduation Year

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* 7. Practice Area Interests

Accountants/Professional Service Firms Liability

Antitrust/Competition

Appellate

Communications Regulatory

Complex Commercial Litigation

Corporate Governance & Compliance

Corporate Reorganization and Bankruptcy

Energy Regulatory

Environmental

FCPA

Financial Institutions Regulatory

Food and Drug Law

Health Care

Intellectual Property and Technology Transactions

Intellectual Property Litigation

International Trade/Arbitration

Life Sciences

Privacy, Data Security and Information Law

Pro Bono

Products Liability

Real Estate

SEC Enforcement

Securities and Futures Regulatory

Securities Litigation

Tax

Transportation

White Collar

Other (please specify)

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* 8. What brings you to the Washington, D.C. area this summer?

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* 9. Please explain why diversity matters to you in your professional career. Your response may include a discussion of any initiatives that you have taken or in which you have participated to promote diversity.

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* 10. Briefly describe your overall career goals and why working at a law firm in the Washington, D.C. area might further those goals.

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* 11. In what ways would you benefit from participating in the Sidley 1L Diversity Summer Mentorship Program?

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* 12. By checking "Yes" below, I understand my application is not complete until I have sent in my application materials to Mieko Rechka, Legal Recruiting Manager, at mrechka@sidley.com by Friday, April 27, 2012.

Yes

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* 13. By checking "Yes" below, I understand and agree to the following:

While the Firm is pleased to provide you information about this program, it is not a part of, or a requirement of, employment. Although we encourage participants in the Sidley 1L Diversity Summer Mentorship Program to consider Sidley Austin LLP when considering law firm employment, being a participant does not obligate one to apply for a summer clerkship or permanent position with any Sidley office, nor is Sidley obligated to interview or hire any program participant.

If you wish to participate in this program, you acknowledge and understand that your participation is purely voluntary and is entirely at your own risk, and the Firm shall not be liable in any way for any injuries or damages that you may incur in connection with this event.

Yes