Application for FLI Scholarship

APPLICATION FOR 2011 FAMILY LAW INSITUTE SCHOLARSHIP

Name:__________________________________________________________________

Address:________________________________________________________________

_______________________________________________________________________

Phone number:___________________________________________________________

Email address:___________________________________________________________

Profession:_____________________________________________________________

______________________________________________________________________

______________________________________________________________________

Metro area office: ______        Out of Denver Metro are office:  _______

Been in practice for 7 years or less: ____________(Yes/No, how long)

Currently earn less than $40,000 per year:  _________

Personally responsible for paying for the FLI (meaning a firm/employer/other entity does not pay for same for your benefit):  ______________

Deadline for Submission is June 1, 2010

Submit applications to:

Denise A. Cook

Law Offices of Denise A Cook, PC

1127 Auraria Pkwy, Suite 201-B

Denver, CO 80204

denise@cookfamilylaw.com