APPLICATION L.L.
M IN DEMOCRATIC GOVERNANCE AND RULE OF LAW
OHIO NORTHERN UNIVERSITY PETTIT COLLEGE OF LAW
Applicants must complete and sign this form and submit with required documentation to Ohio Northern University College of Law. This application must be completed in English. Please review the Application Checklist on page 6 for a list and description of documents that are required for this program. It is the Applicants responsibility to provide the L.L.M office with any changes and/or updates to their current status.
1. Salutation: ____________
Mr., Ms., or Dr.
Name: ____________________________________________________________
First M.I. Last
Previous names: _____________________________________________________________________________
Emergency Contacts _____________________ ___________________
Name Name Phone Number Phone Number
________________ __________
E-mail Address E-mail Address Relationship Relationship
______________________ ___________________ ________________ __________
Marital Status 2. Gender: Male
__________________ Female
3. Mailing address: (If your address changes, please notify the L.L.M office as soon as possible)
___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________
City, State and Country
_______________________________________
Telephone (include country code or area code)
_______________________________________
Fax no. (Include any routing instructions)
_______________________________________
Email
_______________________________________
How and when is the best time to reach you?
4. Work address: (If your address changes, please notify the L.L.M as soon as possible)
___________________________________________
Institution
_______________________________________
Telephone (include country code or area code)
___________________________________________
Department
_______________________________________
Fax no. (Include any routing instructions)
___________________________________________
Building Number
_______________________________________
Email
___________________________________________
_______________________________________
How and when is the best time to reach you?
___________________________________________
City, State and Country
_______________________________________
Job Title
5. Date of birth:
_____/_____/_____
mm dd yy
6. Place of birth: ____________________________________
City, State, Country
Country of Citizenship: ________________________
Country of Legal Residence: ________________________
7. Have you previously traveled on a United States Government sponsored exchange program? If yes, please complete the following: Program Dates Location
Yes
No
Check if additional pages are attached Have you ever received a United States J-1 or F-1 visa? If yes, please indicate the following: Type of Visa (J-1 or F-1) Yes No
Please give the exact start date mm/dd/yy mm/dd/yy
Please give the exact end date mm/dd/yy mm/dd/yy Check if additional pages are attached
L.L.M students will come to the United States on a J-1 visa. The J-1 visa includes a two-year home country physical presence requirement. Candidates may not apply for residency at the end of the program. Applicants who have participated in any previous program on a J-1 visa must have completed the two-year home country physical presence requirement before the start of the L.L.M program. As a condition of this L.L.M program, candidates will be required to return to their home country to complete 2 years of public service. The J-1 visa requirement for two years home country physical presence requirement is included in this public service requirement. No requests for visa extensions, waivers, or transfers will be granted, except in cases when further stay in the United States is required in order to complete the L.L.M program.
8. Native language: ______________________
other languages studied or spoken: _____________________________
How long have you studied English? ________ years. List any English courses that you have taken: _______________________________________________________
________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________
9. Have you taken the TOEFL? Date taken: ______/_____/_____
mm dd yy
Yes
No
if yes, what was your score? _________________________
Place taken: ______________________________________________
10. Responses to this question are optional. Please indicate if you have any of the following disabilities: Hearing Impairment Orthopedic Impairment Speech Impairment Learning Disorder Visual Impairment Other: ____________________________
11. List all colleges and universities attended, beginning with the most recent:
Name and Location of Institution Dates attended Field of Study Degree Awarded Date Awarded LAW
Check if additional pages are attached Please list all university courses that youve taken and grades received: Academic Year Course Taken Grade Received
Check if additional pages are attached
12: Bar memberships and dates of admission: __________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Check if additional pages are attached
13. Name your current employer: ___________________________________________________________________ Dates of employment: ___/___/___ to ___/___/___
mm dd yy mm dd yy
Give a detailed description of your position and how it relates to enhancing democracy and the rule of law in your country. Include the names of any civil society organizations that you have worked with in your current position. ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Check if additional pages are attached Will you be able to return to your present employer after the program? Yes No
14. List former paid and unpaid employment, beginning with the most recent:
Employer Dates Position and responsibilities
Check if additional pages are attached
15. List any extracurricular, community and/or professional activities: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Check if additional pages are attached 16. Names and contact information (including e-mail addresses) of three references who can address your qualification and your commitment to democracy and the rule of law:
Name and Title Organization Contact Information
Privacy Statement: Ohio Northern University College of Law will indefinitely store all biographical and academic information gathered from each applicant, current student and alum of the L.L.M program. Following are examples of ways in which this information may be used: 1. Supplied to the programs funding organization; 2. Used by the programs admissions committee and in any other evaluation of the student, for admission and performance assessment during the program; 3. Used in the overall evaluation of the program by Ohio Northern or any funding or governmental agency; 4. Provided to non-commercial, nongovernmental organizations for the purposes of recruitment of prospective students and/or promoting professional development among current students and alumni; 5. Used in the development of an alumni network including the promotion of events and programs; and 6. Used in the creation of written or electronic, promotional and informational materials. Ohio Northern will not sell applicant, student or alumni information. This privacy statement is binding only to Ohio Northern University; other organizations in the administration of this program may adhere to other privacy principles.
I certify that I have read the following publication for the L.L.M in Democratic Governance and Rule of Law: (check all that apply) Fact Sheet Brochure Website
I understand the requirements and objectives of the program and commit to spending two years in my current position or its equivalent promoting democratic governance and the rule of law and that this program is not designed to allow an individual to take a bar exam in the United States. I certify that the statements I have made in this application are complete and accurate. I further understand that it is my responsibility to immediately notify the Ohio Northern University College of Law of any changes in status to any part of this application. I also understand that any information that is found to be omitted, false or misleading may be the basis for denial of admission or dismissal from the program.
___________________________________________________________ Applicants Signature
Date: _____/____/____ mm dd yy
APPLICATION CHECKLIST
EVERYTHING SHOULD BE RECEIVED BY THE LL.M. OFFICE NO LATER THAN FEBRUARY 15, 2010
Legibly print or type complete and accurate answers to all questions. Some questions may require further explanation on a separate page. Application must be signed and dated. An official Test of English as a Foreign Language (TOEFL) score from The Educational Testing Service, sent directly to Ohio Northern University College of Law. The institution code for ONU is 1591. A 300 word essay describing your interest in public service, rule of law and democratic governance. This statement must also describe your future plans for the implementation of law reform and democratization in your country. 3 Letters of Recommendation. (Please see attached form) Law school transcripts or other official record of completion of legal education and licensure as an attorney. Transcripts must be analyzed and grades converted to a standard 4.0 grading system. Applicants must order a Comprehensive Course-by-Course Report from World Education Services. The application and further information may be obtained through: World Education Services (WES) Telephone: 212.966.6311 Email: info@[Link] [Link] An Employer Statement. (Please see attached form) A current copy of your Curriculum Vitae. Note: Along with the above-mentioned documents, applicants are required to do a phone interview. Upon completion of your application, you will be contacted by a representative of the L.L.M program to arrange for this interview. Please make sure that you update your application with any changes to your mailing or email address and phone number.
Send correspondence to: L.L.M in Democratic Governance and Rule of Law Ohio Northern University College of Law 525 South Main Street ADA, OH 45810 Tel.: 419.772.3580 Fax: 419.772.3585 E-mail: LLM@[Link]