Application for Admission Personal InformationName* First Middle Last Suffix Sex* Male Female Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Name on Previous Academic Records (if different from above) First Middle Last Suffix Current Mailing Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Are you an Alabama state resident?* Yes No Are you a U.S. Citizen?* Yes No Country of Citizenship*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweWere you born in the U.S.?* Yes No If not born in the United States, in what year did you begin living in the United States?* Indicate your current status as of the date you submit your application:* (FI) Student (IM) Immigrant (J1) Exchange Visitor (PR) Permanent U.S. Resident (RF) Refugee Academic InformationList ALL undergraduate and professional level schools you have attended full-time or part-time, starting with the most recent.*Name of SchoolBegin Date (MM/YYYY)End Date (MM/YYYY)MajorDegreeDegree Date (MM/YYYY) Press (+) to enter more schools.Highest Degree (other than Bachelor's) received or course work completed for such degree: Master's Doctorate If applicable, please describe any circumstances that negatively affected the extent to which your academic record reflect your ability to succeed in law school.Please provide the following information for the high school you attended for the longest period:Name of High School* High School Location* City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Begin (MM/YYYY)* End (MM/YYYY)* Where did you live while you were attending high school? If you lived in more than one residence, list the address where you lived the longest.* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Additional InformationAn affirmative answer to either or both of the following two questions will not necessarily preclude or prejudice your admission to Miles Law School.Have you ever been arrested and/or convicted of a misdemeanor or felony (or the equivalent in a juvenile court), or is any such charge now pending? You need not report traffic violations unless conviction for the violation(s) would constitute a misdemeanor or a felony. You must inform the Admissions Office in writing if any such charge or conviction occurs between your submission of this application and your registration at Miles Law School.* Yes No Have you ever been subjected to dismissal, suspension, probation, warning or other disciplinary or academic sanction by any college, university, professional school or association?* Yes No If you have applied, been admitted or registered at Miles Law School, which has occurred most recently? Applied Been Admitted Registered Not Applicable Indicate the most recent year you have applied, been admitted or registered at Miles Law School.Please enter a number from 1900 to 2050.If you are admitted, may we release your name, address, e-mail address and telephone number(s) to members of our faculty, alumni association, or student organization(s), so that they may give you more information about Miles Law School? Yes No EmploymentList significant employment; include days and hours per week.Name of EmployerBegin Date (MM/YYYY)End Date (MM/YYYY)Hours/WeekPosition Press (+) to enter additional employersPlease indicate which best describes the number of hours worked for a typical week for each academic year of college.First Year*None1-1011-2021-3031-3940 or moreSecond Year*None1-1011-2021-3031-3940 or moreThird Year*None1-1011-2021-3031-3940 or moreFourth Year*None1-1011-2021-3031-3940 or moreFifth Year*None1-1011-2021-3031-3940 or more(if applicable)Other significant employment; including summer and post graduate employment.Name of EmployerBegin Date (MM/YYYY)End Date (MM/YYYY)Hours/WeekPosition Public, Communuty Service, Volunteer and Extracurricular ActivitiesPlease describe all significant public, community service, volunteer and extracurricular activities in which you have been involved and any leadership positions you have held. Please include the name, address and telephone number of at least one person with whom you have worked who can provide information about your involvement in those activities.Career GoalsIf you have specific career goals, please describe them and tell us what you have done to prepare yourself to meet your goals.Fluency in Other LanguagesPlease list all languages, other than English, in which you can speak or write, and indicate your degree of proficiency in each. Please describe briefly how you acquired your knowledge of each language.Signed Personal StatementPlease provide a separate essay no more than three double-spaced typed pages. Describe any personal matters relevant to your ability to succeed in law school and the practice of law and any attributes, experiences or interests that would enable you to make a distinctive contribution to the law school or the legal profession.Upload Personal Statement*Accepted file types: doc, docx, rtf, pdf, pages, Max. file size: 2 MB.RésuméUpload your current résumé.*Accepted file types: doc, docx, rtf, pdf, pages, Max. file size: 2 MB.Disability (Optional)If applicable, please bring to our attention any significant disability. Please check the appropriate box(es): Visual Hearing Mobility Chronic Illness Speech Emotional/Psycological Specific Learning Disability Other Describe how the disability may bear on your record.SignatureApplication not valid without signature.Signature Reset signature Signature locked. Reset to sign again I hereby apply for admission to Miles Law School and understand that any material submitted will not be returned. I certify that all information I submit in this application, and in support of this application, is complete and true to the best of my knowledge and belief. I understand that any false or incomplete information may be grounds for dismissal from the Law School or revocation of my degree.Date* MM slash DD slash YYYY Important InformationTO THE APPLICANT In addition to the information above, the following items will be required to complete your application. Failure to provide this information will delay review of your application. Minimum of 1 no more than 2 letters of reference Official Transcript sent DIRECTLY from ALL universities and/or colleges listed on the application Transcripts and letters of reference should be sent to: Address: Miles Law School PO Box 39150 Birmingham, AL 35208 Phone: Office: (205) 923-7739 FAX: (205) 923-7749Miles Law School Application FeeApplication FeeThe non-refundable fee to apply to Miles Law School is $50. When you press the Send Application button, you will be forwarded to PayPal to complete payment for your application fee. Your application will not be reviewed if you do not complete payment.PhoneThis field is for validation purposes and should be left unchanged.