Application for Middle Georgia Justice Incubator Program
Name
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Home Address
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Telephone
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Email
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Law School
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Graduation Year
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Month and Admission to Georgia Bar (or month and year of bar exam taken)
Your answer
Other bar admission and dates
Your answer
If currently practicing law, do you carry malpractice insurance?
Your answer
Have you ever had a complaint or grievance filed against you with a bar disciplinary authority? If yes, please explain fully.
Your answer
Describe your vision for you firm, including your practice areas and your target market.
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Why do you want to practice law in that practice area?
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What role will reduced fee or pro bono play in your practice?
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How will your participation in MGJ Incubator further your goals for your practice?
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Describe a circumstance when you displayed entrepeneurial initiative.
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Describe an experience or activity that demonstrates your commitment to community service or pro bono work.
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Personal/Professional Reference
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How does this reference know you?
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Email and telephone
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Personal/Professional Reference
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How does this reference know you?
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By providing this information, you understand that you are authorizing MGJ to contact these individuals to discuss your application.
Please attach a current resume
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I acknowledge and certify that all statements in this application and accompanying attachments are true to the best of my knowledge. I understand that any material misstatements may subject me to termination should I be selected.
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