SLI App – STUDENT APPLICATION

Summer Law Institute (SLI)

-“If you or your guardian(s) have any questions, contact us at [email protected] or (718) 752-0222 ext. 208. You can also find out more about the SLI by going to our website, www.legaloutreach.org/SLI.”

1. Student First Name:

2. Student Last Name:

3. Date of Birth:
Enter in this format MM/DD/YYYY or 01/24/1995

4. Gender:

5. Preferred Gender Pronouns:

6. Student Email:
You may also enter a parent’s e-mail address if you cannot create one at this time.

7. Confirm Email:
Students should NOT list nycstudent.net emails. You may also enter a parent’s e-mail address if you cannot create one at this time.

8. Home Phone:
Please provide a valid number.
We may need to speak with you about your application.

9. Student Cell Phone:
Please provide a valid number.
We may need to speak with you about your application.

10. Home/Mailing Address:
Include your apartment number with your street adress.
For example: 3614 35th Street Apt 1A. (Do not include city, state, or zipcode here)

11. City:
Choose or write the city in your home mailing address.

Only if your city is not listed above, choose “
Other” and write it here:

12. Zip Code:

13. Borough you live in:

14. Middle School Name:

Only if your Middle School is not listed above, write it here:

15. Middle School Borough:

16. Did you take the SHSAT (Specialized High School Admission Test)?

17. Are you currently in the 8th grade and either living in New York City or attending a New York City middle school:

18. Ethnicity:
Choose the one you most consider yourself to be.

Only if you’re Biracial, please indicate which race or ethnicity you identify as (e.g. Black and Asian; Latinx and White).

19. What languages do you speak at home? (please check all that apply)

Only if Other, please write the language you speak at home.

20. On a scale from 1-10, with ten the highest, rate your enthusiasm for participating in the Summer Law Institute (SLI) in Summer 2021.:
Choose the one you most consider yourself to be.

21. How did you hear about the Summer Law Institute?
Please list the name and relationship of the person who referred you

Please list the name and relationship of the person who referred you

FAMILY INFORMATION

Questions about your parents and family.

22. Do you have a family member (or members) who did the Summer Law Institute or did/is currently doing the College Bound four year program at Legal Outreach?:

If your answer to the previous question was YES, please tell us the name of the family member.

23. Who does the student live with?:

24. What are the names of any people living with you and what is your relationship to them?
(include yourself, siblings, parents, step-parents, and any other family/friends who live with you full-time):

25. Parent 1’s or Guardian’s Name:
Write “NA” if not available.

25. Parent 2’s or Guardian’s Name:
Write “NA” if not available.

26. Parent 1’s or Guardian’s Cell Phone:
Please provide a valid number.
We may need to speak with you about your application.
Skip this question if not available.

27. Parent 2’s or Guardian’s Cell Phone:
Please provide a valid number.
We may need to speak with you about your application.
Skip this question if not available.

28. Parent 1’s or Guardian’s Email:
Skip this question if not available.

Please retype the email to confirm:

29. Parent 2’s or Guardian’s Email:
Skip this question if not available.

Please retype email to confirm:

30.

31.
This form will not submit unless all required questions have been answered. Follow the directions for each question. Some you can skip and some require you to write “NA” if you can not answer it. If you have any issues e-mail [email protected].