Attorney Application - WFCD
New members to the collaborative divorce teams - please fill out this form.
Name *
Business Address
Email *
Work phone number
Cell phone number
Website Address
FL Bar Number
Jurisdictions admitted to practice
Dates admitted to bar
Years of practice
Approximate percentage in Family Law
Are you certified as a family mediator
Clear selection
Original year of certification
Check which Collaborative Divorce Training/Certification you have completed
Reason for joining the collaborative divorce group
Disciplinary Actions: Has your license to practice in any jurisdiction ever been denied, restricted, suspended, revoked, or had any other disciplinary action taken against you? If yes, please explain what occurred and the outcome.
Three References: Name, Email, and Daytime Telephone #(Two of whom are members of West Florida Collaborative Divorce and one of whom is practicing in your field)
Three References: Name, Email, and Daytime Telephone #(Two of whom are members of West Florida Collaborative Divorce and one of whom is practicing in your field)
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