ALEXANDRIA BAR ASSOCIATION
APPLICATION FOR MEMBERSHIP

Name: _________________________ Firm: _____________________________
Home Address: __________________ Office Address: _____________________
___________ ___________________ _________________________________
Home Phone: ______ Office Phone: ______ Fax: ___________
Email:__________________________________       Date of Birth:____________

Do You prefer to receive information via Fax_____ or Email______?

EDUCATIONAL BACKGROUND

Undergraduate College__________________Degree _________Year___________
Law School___________________________Degree_________Year___________
Other Graduate Work_________________________________________________

BAR ASSOCIATION BACKGROUND

Indicate the bar and related organizations of which you are a member; add the date your membership began.
Virginia State Bar__________ VSB #__________ Specialty Bar Groups________________
Offices held and date of terms_________________________________________________
Other states admitted to practice_______________________________________________


MEMBERSHIP STATUS
(Please check one)

__ ACTIVE: Practicing Virginia Attorney with bona fide office within the city limits of Alexandria or who resides within the City (Note: Only active members can vote) $195.00

__ASSOCIATE: Member in good standing with any state or Federal Bar $190.00

__STUDENT: Any person actively enrolled in a law school, full or part time in the United States $75,


I enclose $______ Membership Dues for the current year and subscribe to the Constitution and By-Laws of this Association this ______day of _____________, 20_____. Signature __________________________




ENDORSEMENT OF APPLICANT
(Must be signed by two members of the Association)

We certify that we are members in good standing of the Alexandria Bar Association and sponsor this individual for membership.
Name                                                                     Signature
1. ____________________________________ _____________________________

2. ____________________________________ ___________________________

Please return completed application to Alexandria Bar Association, 520 King Street, Room 202, Alexandria, Virginia 22314

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ASSOCIATION USE ONLY

Approved by:

Membership Chairperson: ____________ ________ Date_______

Membership Committee: _____________ _______ Date_______

Date Paid: __________ Check Amount: ______Check Number: ______


ALEXANDRIA BAR ASSOCIATION
COMMITTEES AND SPECIALTY SECTIONS
2006-2007

The Alexandria Bar Association needs you! If you are interested in leading, following, sharing your expertise and talents, or just having fun -- please indicate your choice(s) below.

____ Community Service Standing Committee

___Law Day Program
___Beat the Odds Program Committee
___Pro Bono Committee
___Holiday Bell-Ringing for Children's Charities

___ Member Services Standing Committee
___ Continuing Legal Education (CLE) Committee
___ Lawyer Referral Service Committee
___ Gridiron Program (Musical Program)
___ Entertainment/Sports Committee
(Ad hoc committees will plan Retirement and Investiture events)

___ Membership Standing Committee
___Young Lawyers
___Senior Lawyers
___Nominating Committee
___Bar History

____ Court Services Standing Committee
___Judicial Administration & the Courts Committee
___Judicial Screening Committee
___Legislative Committee

SPECIALTY SECTIONS:
___Criminal Law ___Family Law
___Real Property
___Intellectual Property & Technology Law

___Tax Law

 

_______________________________________________________________________________________

AREAS OF PRACTICE

Please indicate your area of practice so that it can be entered into the Bar's membership information software. Please check all that apply.

__Bankruptcy                                __Family                                 __Military & Veterans
__Civil & Individual Rights             __Immigration                          __Negligence & Torts
__Collections & Garnishments       __Intellectual Property              __Real Estate
__Commercial                               __International                         __Small Business
__Consumer                                  __Juvenile                               __Social Security
__Criminal                                     __Landlord/Tenant                  __Tax
__Elder Law                             __Legislative Administrative      __Wills, Estates & Trusts
__Employment & Regulatory Law     __Other:_____________

Name _________________________________________ Phone___________________

Address _______________________________________

Return the form to:

Alexandria Bar Association

520 King Street, Room 202

Alexandria, Virginia 22314