APPLICANT COMMITMENT
I have reviewed the Cohort Schedule included in the application packet and understand that cohort members are
expected to attend each of the Institute’s sessions, including the final Cohort Recognition and Project Presentation.
By submitting this application and typing, signing, or electronically signing my name below, I acknowledge the following:
I understand the purpose of the Oregon State Bar Leadership Institute and, if selected, I will devote the time and
resources necessary to complete the program. I will attend all sessions. Unexcused absences may cause my removal
from the program. If I withdraw from the Institute for any reason, no portion of my tuition will be refunded.
I further understand that failure to attend and remain for the entirety of each session will jeopardize any scholarship
funding and hotel or travel reimbursements.
Applicant Name or Signature Date
EMPLOYER/SELF-EMPLOYED AGREEMENT
This applicant has the approval of their employer to participate in the Leadership Institute or is self-employed.
____________________________________________________________
Employer’s Signature or Electronic Signature and Email Date
Applicant is Self-Employed (Applicant initials)
APPLICANT TUITION ASSISTANCE
The cost to participate in the Leadership Institute is $750.00. If this creates a financial hardship and you would like to
request tuition assistance, please explain in writing how tuition assistance would help you (one double-spaced page in
length). Financial documentation is not required and you should not submit any financial documents or disclose
sensitive personal identification data (e.g., Social Security number, financial account numbers, etc.)
It may be possible that an individual or entity will be available to sponsor participation. A tuition assistance request is
your consent that we may solicit sponsorship funding from these external sources, and you agree that we may disclose
your identity to the sponsor.
Any request for tuition assistance will not be factored in the cohort selection process.
Please email your completed application and supporting document by
5 p.m., Monday, June 14 to: diversity@osbar.org
Questions regarding the Leadership Institute or application can be directed to:
JB Kim, OSB Director of Diversity & Inclusion: jbkim@osbar.org
Karen Lee, OSB Chief Equity and Professional Development Officer: klee@osbar.org