The U.S. Equal Employment Opportunity Commission

2009 Honor Program Application Form

Equal Employment Opportunity Commission's Honor Program

*** Absolute Deadline Date For Receipt is October 3, 2008***

This form must be typed or printed clearly.


NAME: (______________________________),
(Last name only)
(___________________________),
(First name only)
(_______)
(Middle initial)
ADDRESS FOR REPLY:
______________________________________________________________,
(Street)
________________
(Apt.)
__________________________________________,
(City)
_________________,
(State)
________________
(Zip Code)
E-MAIL ADDRESS: _______________________________
TELEPHONE NUMBER: Must indicate both numbers:
DAY: (____) _______________________ EVENING: (____) ____________________
LAW SCHOOL NAME:______________________ LAW SCHOOL CITY/ST:_________________
Please indicate the law school you currently attend, or if you have graduated, the law school
where you received your J.D., on the line above.

Judicial Law Clerks (JLCs): Please See Checklist For Completing This Information.
Name of Judge:_________________________ Telephone No.(Chambers)(______) _____________
COURT - CHECK ONE:____U.S. Supreme Ct. ____Fed. Circuit ____Fed. District____ Other Federal ___ State
Location: _____________________________
(City, State)
Court (full name):_________________________________
Dates of Clerkship (beginning to end):__________________________________

CURRENT YEAR IN SCHOOL:

(Must check appropriate line).

_____ 3L J.D. expected: ___________ (mo./yr.)

_____ Received J.D. in: ___________ (mo./yr.)

_____ LL.M. Program; LL.M. Program began: __________ (mo./yr.)

LL.M. expected: ____________ (mo./yr.)


CLASS RANK: You must check one appropriate category among those listed, e.g., Top 15% rank
would be in Top 20% category. Estimate if no official class rank is given.
If your school does not approve of this practice, check "not applicable."

____ Top 10% ____ Top 20% ____ Top 33% _____ Top 50% _____ Lower 50% _____ Not Applicable


CHOICE OF EMPLOYMENT: Select offices in order of preference by placing a 1 next to your first choice, and a 2 next to your second choice. If the Office of General Counsel is one of your choices, please indicate, in order of preference, for which District Office(s) you would like to be considered.

_______ Office of General Counsel


_____ Denver, CO
_____ Los Angeles, CA
_____ Phoenix, AZ

_______ Office of Legal Counsel

_______ Office of Federal Operations

EXTRACURRICULAR ACTIVITIES
Check appropriate lines:
LAW REVIEW/JOURNAL PARTICIPATION:
Selected based on grades_____
Selected based on writing competition_____
Article/Comment Published_____
Editorial Position_____
MOOT COURT:
Voluntary_____
National/Regional Team_____
Moot Court Board_____
BOOK AWARD:_____
CLIENT COUNSELING COMPETITION:_____
VOLUNTEER - LEGAL AID OR CLINICAL PROGRAM:_____
GRADUATE DEGREE (NON-LEGAL):_____
(Please indicate field of study and degree awarded.)
___________________________________________________
EEOC EXPERIENCE:_____
If checked, please indicate employing office, name
of supervisor and telephone number:
__________________________________________________
__________________________________________________
(_____)___________________________________________

EMPLOYMENT AND/OR LABOR LAW COURSES PREVIOUSLY TAKEN OR CURRENTLY BEING TAKEN:
 
 
 
 
 
 
 
 

LIST ALL LEGAL EMPLOYERS. YOU MAY INCLUDE PROFESSORS WITH WHOM YOU HAVE WORKED IN A CLINICAL OR OTHER VOLUNTEER PROGRAM.
NAME ORGANIZATION TELEPHONE NO.

 
 
 
 
 
 
 
 

SURVEY:
Please indicate by checking the appropriate line(s) below how you became interested in or informed about employment with the EEOC. Provision of this information is voluntary.
_____ EEOC materials available in law school
_____ Campus Recruitment Presentation
_____ Law School Publicity/Counseling
_____ Law School Professors
_____ Internet
_____ Law School Colleagues
_____ Mailing to Minority Student Group/
Minority Legal Association
_____ Mailing to Court
_____ NALP
_____ EEOC Experience
_____ Consortium/Job Fair Participation
_____ Other Acquaintances
_____ Other (Please describe briefly.)__________________________________________________________

ATTENTION-THIS STATEMENT MUST BE SIGNED

Read the following carefully before signing this statement. A false answer to any question or portion thereof in this application may be grounds for not employing you, or for dismissing you after you begin work, and may be punishable by fine or imprisonment. All the information you give will be considered in reviewing your application and is subject to investigation (18 U.S.C. §1001). CERTIFICATION-I CERTIFY that all of the statements made on this form are true, complete, and correct to the best of my knowledge and belief, and are made in good faith.

Signature (sign in ink)__________________________________________ Date________________________

The U.S. EEOC is an Equal Opportunity/Reasonable Accommodation Employer.

Veterans who served on active duty in the U.S. Armed Forces and were separated under honorable conditions may be eligible for veterans’ preference pursuant to 5 U.S.C. 3320 and 5 C.F.R. Part 302. If you are a veteran, you must attach a copy of your DD-214 (copy 4) and VA letter (if applicable). For more specifics on all veterans employment issues such as Veterans preference or special appointing authorities see the VetGuide.


This page was last modified on August 13, 2008.

Home Return to Home Page