American Bar Association

Labor & Employment Section

Committee on State and Local Government

Collective Bargaining and Employment Law

 

 

Name:                                                                                                                                                                                                    

 

Address:                                                                                                                                                                                               

 

Gender*:                                                                                        Race and/or Ethnic Heritage*:                                                 

 

Telephone Number:                                                                    

 

Fax Number:                                                                                 

 

E-mail Address:                                                                                                                                                                                   

 

Firm/Employer:                                                                                                                                                                                    

 

Please identify your primary area(s) of Labor/Employment practice (e.g., Management, Plaintiff, Union, Government).

 

                                                                                                                                                                                                               

 

                                                                                                                                                                                                               

 

Year you were first admitted to the Bar:                          

 

Are you a member of the American Bar Association?  Yes                      No              

 

If you answered yes, what is your ABA number?                                                        

 

Have you ever attended an annual meeting of the ABA?  Yes                No              

 

Please list the other bar associations of which you are a member.                                                                                           

 

                                                                                                                                                                                                             

 

                                                                                                                                                                                                             

 

                                                                                                                                                                                                             

 

Are you actively involved in any bar association programs or projects?  Yes             No          

 

If you answered yes, please name them and briefly describe your involvement, including any positions held.

 

                                                                                                                                                                                                             

 

                                                                                                                                                                                                             

 

                                                                                                                                                                                                             

 

*Optional

Have you ever published legal articles or treatises?      Yes                     No              

 

If you answered yes, please list any relevant publications or presentation?

 

                                                                                                                                                                                                             

 

                                                                                                                                                                                                             

 

                                                                                                                                                                                                             

 

Are you currently a member of the Labor and Employment Section?     Yes                 No          

 

If you answered yes, how long?                                      

 

Are you currently active with a committee of the Labor and Employment Section?    Yes             No            

 

If you answered yes, please state the name of the committee, the nature of your involvement, and the approximate dates of service.

 

                                                                                                                                                                                                             

 

                                                                                                                                                                                                             

 

                                                                                                                                                                                                             

 

Have you ever attended a Labor and Employment Section committee meeting?      Yes                 No            

 

If you answered yes, please state the event(s) you attended and the approximate date(s).

 

                                                                                                                                                                                                             

 

                                                                                                                                                                                                             

 

                                                                                                                                                                                                             

 

 

Please attach a written statement (200 words or less) describing why you are interested in participating in this program.

 

 

NOTE:  Applications should be completed by August  31, 2005, and sent to:  American Bar Association, Section of Labor and Employment Law,

Attn:  Brad Hoffman, 321 N. Clark St., Chicago, IL  60610.