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RUSLEF

25.09.2012

RUSLEF .

Russia-United States Legal Education Foundation (RUSLEF)

Postal Address: P.O. Box 626, Sanibel, Florida 33957, U.S.A.

Street Address: 250 Hurricane Lane, Sanibel, Florida 33957, U.S.A.

(239) 395-1832

spjmp@mac.com

2013 RUSLEF Fellowship Application Form

Attach a copy of a transcript of the law faculty courses completed

to date together with the grade for each such course. In addition,

if you have already graduated please attach a photocopy of your

law degree(s). Please also attach a current photo. Either send by

e-mail, or by mail to postal address above, or send by private

delivery service (e.g., Fedex, DHL, UPS) to street address above.

Name: ________________________________________

Date of Birth:

_____________________________________________

Place of Birth: _____________________________________________

Address: ______________________________________

Telephone number(s) and e-mail address:

Telephone: _________________________________

Cell Phone (if applicable) _______________________

Email Address: ______________________________________________

Foreign Passport:

Number & Date of Issuance:

________________________________________________

Date of Expiration: ___________________________________

Secondary School Attended: Give name, location, date of graduation, and any honors received:

_____________________________________________________

_____________________________________________________

University attended, address, & name of Dean of Law Faculty:

______________________________________________________

______________________________________________________

Years completed as of the date of this application:

__________________________________________

Degrees:

If already awarded, year Degree was awarded and any honors

received:

________________________________________

________________________________________

If not awarded yet, state Degree expected and when you

expect to receive it: _________________________

TOEFL Test: Date(s) and places test will be taken, or, if already taken,

date(s) and places where taken and scores:

________________________________________________

_________________________________________________

Prior travel outside Russia. Give countries and dates and nature of visits

abroad (e.g., tourist, study, work):

________________________________________________

________________________________________________

__________________________________________________

Work Experience (if any):

List all work experience, part or full time, since completing secondary education. Include name, address, phone number and email address of employer and of person who was your supervisor. Include also

nature of work performed and length of employment.

___________________________________________________

___________________________________________________

___________________________________________________

Family Information:

Mothers name:

_______________________________________________

Mothers address and phone number:

_______________________________________________

_______________________________________________

Mothers occupation & employer:

_______________________________________________

_______________________________________________

Fathers name:

___________________________________________

Fathers address and phone number:

___________________________________________

___________________________________________

Fathers occupation & employer:

___________________________________________

___________________________________________

Do you have brothers or sisters? ________

Number and ages of brothers: __________ Number and ages of

sisters: ____________

Signature:

__________________________________________________

Date of application:

__________________________________________________


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