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APPLICATION FOR 2009 FAMILY LAW INSITUTE SCHOLARSHIP

Name:__________________________________________________________________

Address:________________________________________________________________

______________________________________________________________________

Phone number:___________________________________________________________

Email address:___________________________________________________________

Profession:_____________________________________________________________

______________________________________________________________________

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

Been in practice for less than 5 years: ____________(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 August 1, 2009

Submit applications to:

Denise A. Cook

Law Offices of Denise A Cook, PC

1127 Auraria Pkwy, Suite 201-B

Denver, CO 80204