Janis Hardman Grant Application

The Janis Hardman Medical Support Grant honors the late Janis Hardman, who showed grace and poise in her battle with cancer and received tremendous support from the OWLS community. The grant is available to lawyers who identify as women and/or as members of any other historically disadvantaged groups who need financial support because they are unable to work or can only work a reduced schedule during a time of medical need.

The maximum grant is $1,500.

Recipients must be active members in good standing of the Oregon State Bar. They must also intend to continue in the practice or return to the practice of law. A short statement from a doctor indicating an inability to work, a need to reduce one’s work schedule due to illness, or a need to reduce one’s work schedule to provide care for a child, sibling, dependent, parent, grandparent, partner, or spouse is required.

Grant determination is based upon a combination of the following:

Financial need: 40%
Personal statement: 50%
Intent to continue to practice law: 10%
Overall application (including completeness, grammar, and typographical errors): 10%

Janis Hardman Grant Application

Name*
First Last
Address*
Address Address 2 City State ZIP Code
Email*
Phone*
Your OSB number*
Are you in good standing with the OSB?*
- Yes
- No
What is your primary diagnosis?*
What is your understanding of your prognosis or the prognosis of the individual you are caring for?*
How has your illness (or the illness of the individual you are caring for) affected your ability to work?*
Provide a short statement from a doctor indicating an inability to work, a need to reduce your work schedule because of your illness, or a need to not work or reduce your work schedule to provide care for a child, sibling, depending, parent, grandparent, partner, or spouse.*
Max. file size: 10 MB.
Do you have children or dependents living wth you? If yes, what are their ages?*
Please provide a personal statement on how you anticipate using the funds from the Oregon Women Lawyers Foundation Janis Hardman Grant?*
Do you intend to continue practicing law during your illness (or time after caring for another) or to return to the practice of law after you have recovered from your illness (or after providing care to another)?*
- Yes
- No
May the OWLS Foundation use your name, law school, graduation date, and likeness in press releases, on social media, and on its website?*
- Yes
- No
If you responded “no” to use of your name and information by the OWLS Foundation in press releases, on social media, and on its website, please briefly explain why.
How did you hear about the Janis Hardman Medical Support Grant?*
Do you self-identify as (1) a woman; and/or (2) a member of any other historically disadvantaged groups? Please briefly explain.*
Income and Assets
Total household monthly income from employment*
Has your total household monthly income been reduced due to your illness? If yes, provide your pre-illness monthly household income and your current monthly household income.*
Total household scholarship/loan "income"*
Other "income" (money from investments, trust, family, etc.)*
Child support/spousal support*
Total non-tax-deferred assets (checking, savings, trust funds, annuities, etc.)*
Total tax-deferred assets (401K, 403b, IRA, annuities, etc.)*
Net equity in all real property owned (current market value minus current amount of encumbrances)*
Other income or assets or gifts or grants (please explain)
Monthly expenses
If paid biannually or annually, then amortize over 12 months
Rent/mortgage*
Utilities (sewer, water, gas, electricity, phone)*
Cable and mobile devices*
Insurance (auto, home, and other)*
Property taxes*
Food*
Car payments*
Car expenses (other than insurance)*
Health and dental care (co-pays, medications, etc.)*
Medical, dental, and vision insurance*
Child care*
Loans other than mortgage and car payment (list total owed and monthly payment amount[s])*
Dues, PLF, and other professional expenses not covered by your employer*
Tuition, books, and other school-related expenses, if any*
Other expenses. Explain*
Please briefly explain any other information you would like us to consider regarding your financial situation.

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