Bank of America Merrill Lynch

MBA Investment Banking

Diversity Fellowship 2010
Applicant Summary Form

_____________________________________ ____________________________________ ________________

Last Name First Name Middle

_____________________________________ __________________________________
Address Email

_____________________________________ __________________________________
City Phone Number

_____________________________________ ______________________
State Zip Code GMAT Score

Answers provided below are for survey purposes only and will not affect your application status during the
fellowship interview process:

Business School you will be attending in the

fall (if pending, list schools being considered): ________________________________________________________

Please list all fellowship programs with whom you are

currently interviewing (including Toigo, Consortium, etc)): _________________________________________________

As a federal government contractor, Bank of America Merrill Lynch is required to monitor and report the
demographic information of individuals applying for employment at Bank of America Merrill Lynch. To assist in this
process, you may identify your race, gender, and Vietnam Era Veteran status. Submission of this information is
voluntary and your decision not to provide it will not subject you to any adverse treatment. The information that
you furnish will be maintained only for the purpose of monitoring compliance and will not be used for any other
purpose.

Gender (please check one): _______ Female_______ Male

_______ Decline to Respond

Group Status: _______ White _______ Black or African-American

_______ Decline to Respond _______ Asian _______ Hispanic or Latino

_______ Two or more _______ Native Hawaiian or Other Pacific Islander

_______ Alaskan Native/ American Indian

Completed applications must be received by Friday, April 2, 2010.

Please submit via email to: campusdiversity@bankofamerica.com

For additional questions please contact Kusawn Carr @ Kusawn.D.Carr@bankofamerica.com

You will be notified of your status by April 7, 2010.