Application for L4EJ Fall 2018 Class
Please complete the following application. When uploading your resume and transcript, please be sure to include your name in the file names.
Please select your preferred program: *
Name: *
Home Address: *
Home Phone:
Cell Phone:
Email: *
Law School: *
Graduation Year: *
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Month and Year of admission to Georgia bar OR month and year bar exam taken: *
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Other bar admissions and dates:
If currently practicing law, do you carry malpractice insurance?: *
Have you ever had a complaint or grievance filed against you with the State Bar of Georgia? *
Describe your vision for your firm, including your practice area/s and your target market: *
Why do you want to practice in the area of law you chose? *
How will your firm or the services you offer be different than what is currently available? *
What role will reduced-fee or pro bono services play in your firm? Be specific: *
How will your participation in L4EJ further your goals for your practice and your firm? *
Describe a circumstance when you demonstrated entrepreneurial initiative: *
Describe an experience or activity that demonstrates your commitment to community service or pro bono work: *
Personal/Professional Reference: *
How this reference knows you:
Email:
Telephone/Cell:
Personal/Professional Reference: *
How this reference knows you:
Email:
Telephone/Cell:
Personal/Professional Reference: *
How this reference knows you:
Email:
Telephone/Cell:
By providing this information, you understand you are authorizing L4EJ to contact these individuals to discuss your application for participation in L4EJ. *
Please attach a current resume.
Please attach your law school transcript.
How did your hear about L4EJ? (If from a current or former participant, please give their name(s)).
I understand my eligibility to join and remain in L4EJ requires I continue to be a member of the State Bar of Georgia in good standing: *
If I am selected to participate in L4EJ, I agree to carry at all times while I am part of the program malpractice insurance in amounts as described in the Participation Agreement: *
If selected, I agree to perform the required amount of pro bono hours each month during my participation in L4EJ in programs or with clients approved by the L4EJ Executive Director: *
I understand that L4EJ has a conflicts policy that prevents any attorney in the program from taking on a matter or client that would make them adverse to the client of any other attorney in the program, without an exception granted by the L4EJ Executive Director. If selected, I agree to perform conflict checks consistent with this policy: *
By initialing this application, I acknowledge and certify that all statements in this application and accompanying attachments are true to the best of my knowledge and reflect realistic projections based on information reasonably available to me. I understand that any material misstatements herein may be the subject of termination of my participation in L4EJ should I be selected. Please initial below: *
All requested materials will be reviewed as received. There are a limited number of spots available for participation in L4EJ. The election process is competitive and selections are made on the basis of qualifications of the applications. L4EJ does not discriminate on the basis of race, color, national origin, religion, sex, sexual orientation, age, disability or veteran status.
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