Name:
*
First Name
Last Name
Email Address:
*
Firm/Business Name
*
Address:
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Business Phone:
*
(###)
###
####
Cell Phone:
Optional, for board use only
(###)
###
####
Why do you want to join the Inn?
*
Position Sought
*
Have you been a member of the Bennett Inn before?
*
Current Position?
*
Time in this position:
*
Describe your current responsibilities and type of work:
*
What is your level of authority? Describe.
*
To whom are you accountable, and who is accountable to you?
*
Please list your past related experience as well as responsibilities, and number of years in each position:
*
Other organizations to which you belong, and any offices held:
*
Please list schools attended, degrees obtained, years of graduation, and any special knowledge, skills or abilities.
*
Would you like to sponsor a student, public-interest, or young attorney? ($100.00 per year)
*
Would you like to be considered for financial assistance? (Public-interest and attorneys practicing less than 5 years)
*
Participation Requirement
*
Anything else you'd like to add?
Thank you!
Your application has been sent to our membership chair. Our Executive Board will meet over the summer to review applications and you will be notified of your status in early August.
If you have any questions, please contact our Membership Chair.
