Apply for a Scholarship

Name*

First Last

Law Firm Name*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

State Bar Affiliation(s) & Number(s)

Number of years in practice*

Practice areas*

Title of course for which you seek assistance*

Please do not register for the course until your scholarship has been approved.

Course Date*

Date of course for which you seek assistance.

What is your personal annual gross income?*

Firm Information:

Choose One*

Solo Practitioner
Member of a Law Firm

Does Your Law Firm pay for: (Select All that Apply)

Client Expenses
CLE Expenses

Answers required if you are part of a law firm.

Seminar Information:

Have you attended the Welcome to the Revolution seminar?*

Yes
No

If yes, please provide year and location:

Have you subscribed to the Keenan Trial Blog?*

Yes
No

Have you previously applied for a KTI Scholarship?*

Yes
No

Additional Information:

Statement of Need

Briefly describe your current situation and why you need a scholarship. Use extra sheets if necessary

Other information in support of this application

Please include why you are interested in this particular course or the relevance of this course to your practice.

I understand the basis for reduced fee or waiver is financial need. I hereby make application to Keenan Trial Institute based on my inability to pay the cost to attend this course. I swear or affirm that the information given is to the best of my knowledge, accurate and complete.

Signature of Applicant

THIS APPLICATION MUST BE SUBMITTED AT LEAST 3 WEEKS PRIOR TO THE PROGRAM

Name

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