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