Federal Bar Association Membership Application

Published on April 2017 | Categories: Documents | Downloads: 50 | Comments: 0 | Views: 260
of 2
Download PDF   Embed   Report

Comments

Content

connect
Advocacy
The opportunity to make a change and improve the federal legal system through grassroots work in over 80 FBA chapters and a strong national advocacy.

through the Federal Bar Association
Networking
Connect with a network of federal practitioners extending across all 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands.

The Federal Bar Association offers an unmatched array of opportunities and services to enhance your connections to the judiciary, the legal profession, and your peers within the legal community. Our mission is to strengthen the federal legal system and administration of justice by serving the interests and the needs of the federal practitioner, both public and private, the federal judiciary, and the public they serve.

Leadership
Governance positions within the association help shape the FBA’s future and make an impact on the growth of the federal legal community.

Learning
Explore best practices and new ideas at the many Continuing Legal Education programs offered throughout the year—at both the national and chapter levels.

expand your connections, expand your career
THREE WAYS TO APPLY TODAY: Å Join online at www.fedbar.org;Ç Fax application to (571) 481-9090; or É Mail application to FBA, 1220 North Fillmore St., Suite 444, Arlington, VA 22201. For more information, contact the FBA membership department at (571) 481-9100 or [email protected].

FEDERAL BAR ASSOCIATION APPLICATION
Applicant Information

FOR

MEMBERSHIP

(CONTINUES

ON REVERSE)

First Name ❍ Male ❍ Female

M.I.

Last Name

Suffix (e.g. Jr.)

Title (e.g. Attorney At Law, Partner, Assistant U.S. Attorney)

Have you been an FBA member in the past? ❍ yes ❍ no

Which do you prefer as your primary address? ❍ business ❍ home

Firm/Company/Agency Address City

( ) Phone

Business Home
Number of Attorneys Suite/Floor Address City ( State ( Fax Zip ) ) State Zip Country Phone ( ) Fax E-mail / / Date of Birth E-mail

Apt. #

Country

Bar Admission and Law School Information (required) U.S.
Court of Record: ________________________________________ State/District: ______________ Original Admission: / /

Practice Information PRACTICE TYPE
Private Sector: ❍ Private Practice Public Sector: ❍ Government ❍ Nonprofit ❍ Military ❍ ❍ ❍ ❍ ❍ ❍ ❍ ❍ ❍ ❍ ❍ ❍ ❍ Corporate/In-House ❍ Association Counsel ❍ University/College ❍ Judiciary ❍ ❍ ❍ ❍ ❍ ❍ ❍ ❍ ❍ ❍ ❍ ❍

Tribal

Court of Record: ________________________________________ State: _____________________ Original Admission: / /

PRIMARY PRACTICE AREAS
Administrative Admiralty/Maritime ADR/Arbitration Antitrust/Trade Bankruptcy Communications Criminal Environment/Energy Federal Litigation Financial Institutions General Counsel Government Contracts Health Immigration Indian Intellectual Property International Labor/Employment Military Social Security State/Local Government Taxation Transportation Veterans

Foreign

Court/Tribunal of Record: ________________________________ Country: __________________ Original Admission: / /

Students

Law School: ____________________________________________ State/District: ______________ Expected Graduation: / /

❍ Other:

connect
Membership Levels SUSTAINING MEMBERSHIP

Membership Categories and Optional Section, Division, and Chapter Affiliations
Chapter Affiliation
Your FBA membership entitles you to a chapter membership. Local chapter dues are indicated next to the chapter name (if applicable). If no chapter is selected, you will be assigned a chapter based on geographic location. *No
chapter currently located in this state or location.

Members of the association distinguish themselves when becoming sustaining members of the FBA. Sixty dollars of the sustaining dues are used to support educational programs and publications of the FBA. Sustaining members receive a 5% discount on the registration fees for all national meetings and national CLE events. Private Sector Public Sector Member Admitted to Practice 0-5 Years ...........................❍ $155 ❍ $135 Member Admitted to Practice 6-10 Years .........................❍ $215 ❍ $190 Member Admitted to Practice 11+ Years ..........................❍ $255 ❍ $220 Retired (Fully Retired from the Practice of Law) ..............❍ $155 ❍ $155

ACTIVE MEMBERSHIP
Open to any person admitted to the practice of law before a federal court or a court of record in any of the several states, commonwealths, territories, or possessions of the United States or in the District of Columbia. Private Sector Public Sector Member Admitted to Practice 0-5 Years ...........................❍ $95 ❍ $75 Member Admitted to Practice 6-10 Years .........................❍ $155 ❍ $130 Member Admitted to Practice 11+ Years ..........................❍ $195 ❍ $160 Retired (Fully Retired from the Practice of Law) ..............❍ $95 ❍ $95

ASSOCIATE MEMBERSHIP
Foreign Associate Admitted to practice law outside the U.S. ....................... ❍ $195 Law Student Associate Currently enrolled in law school ............................. ❍ $30

Dues Total: $ _______ Practice Area Sections
❍ ❍ ❍ ❍ ❍ ❍ ❍ ❍ ❍ ❍ ❍ Alternative Dispute Resolution .. $15 Antitrust and Trade Regulation..$15 Bankruptcy Law......................... $10 Civil Rights Law ......................... $10 Criminal Law ............................. $10 Environment, Energy, and Natural Resources ...................... $15 Federal Litigation....................... $10 Government Contracts............... $20 Health Law ................................. $10 Immigration Law ....................... $10 Indian Law ................................ $15 ❍ ❍ ❍ ❍ ❍ ❍ Intellectual Property Law............ $10 International Law ...................... $10 Labor and Employment Law ..... $15 Securities Law Section ................. $0 Social Security............................ $10 State and Local Government Relations ....................................... $5 ❍ Taxation ..................................... $15 ❍ Transportation and Transportation Security Law ..... $20 ❍ Veterans Law.............................. $10

Career Divisions
❍ Federal Career Service (past/present employee of federal government).....N/C ❍ Judiciary (past/present member or staff of a judiciary) ...............................N/C ❍ Corporate & Association Counsels (past/present member of corporate/association counsel’s staff) .............................................................. $10 ❍ Senior Lawyers* (age 55 or over) ................................................................... $10 ❍ Younger Lawyers* (age 36 or younger or admitted less than 3 years) .......N/C
*For eligibility, date of birth must be provided.

Sections and Divisions Total: $ _______

Alabama ❍ Birmingham ❍ Mobile ❍ Montgomery ❍ North Alabama Alaska ❍ Alaska Arizona ❍ Phoenix ❍ William D. Browning/ Tucson–$10 Arkansas* ❍ At Large California ❍ Central Coast ❍ Inland Empire ❍ Los Angeles ❍ Northern District of California ❍ Orange County ❍ Sacramento ❍ San Diego ❍ San Joaquin Valley Colorado ❍ Colorado Connecticut ❍ District of Connecticut Delaware ❍ Delaware District of Columbia ❍ Capitol Hill ❍ D.C. ❍ Pentagon Florida ❍ Broward County ❍ Jacksonville ❍ North Central Florida–$25 ❍ Orlando ❍ Palm Beach County ❍ South Florida ❍ Southwest Florida ❍ Tallahassee –$25 ❍ Tampa Bay

Georgia ❍ Atlanta–$10 Hawaii ❍ Hawaii Idaho ❍ Idaho Illinois ❍ Chicago Indiana ❍ Indianapolis Iowa ❍ Iowa–$10 Kansas* ❍ At Large Kentucky ❍ Kentucky Louisiana ❍ Baton Rouge ❍ Lafayette/ Acadiana ❍ New Orleans ❍ North Louisiana Maine* ❍ At Large Maryland ❍ Maryland Massachusetts ❍ Massachusetts –$10 Michigan ❍ Eastern District of Michigan ❍ Western District of Michigan Minnesota ❍ Minnesota Mississippi ❍ Mississippi Missouri* ❍ At Large Montana ❍ Montana Nebraska* ❍ At Large Nevada ❍ Nevada New Hampshire* ❍ At Large

New Jersey ❍ New Jersey New Mexico* ❍ At Large New York ❍ Eastern District of New York ❍ Southern District of New York North Carolina ❍ Eastern District of North Carolina ❍ Middle District of North Carolina ❍ Western District of North Carolina North Dakota* ❍ At Large Ohio ❍ John W. Peck/ Cincinnati/ Northern Kentucky ❍ Columbus ❍ Dayton ❍ Northern District of Ohio–$10 Oklahoma ❍ Oklahoma City ❍ Northern/ Eastern Oklahoma Oregon ❍ Oregon Pennsylvania ❍ Eastern District of Pennsylvania ❍ Middle District of Pennsylvania ❍ Western District of Pennsylvania Puerto Rico ❍ Hon. Raymond L. Acosta/ Puerto Rico–$10

Rhode Island ❍ Rhode Island South Carolina ❍ South Carolina South Dakota* ❍ At Large Tennessee ❍ Chattanooga ❍ Memphis Mid-South ❍ Nashville ❍ Northeast Tennessee Texas ❍ Austin ❍ Dallas–$10 ❍ Del Rio–$25 ❍ El Paso ❍ Fort Worth ❍ San Antonio ❍ Southern District of Texas–$25 ❍ Waco Utah ❍ Utah Vermont* ❍ At Large Virgin Islands ❍ Virgin Islands Virginia ❍ Northern Virginia ❍ Richmond ❍ Roanoke ❍ Tidewater Washington* ❍ At Large West Virginia* ❍ At Large Wisconsin* ❍ At Large Wyoming ❍ Wyoming

Chapter Total: $ _______

Payment Information and Authorization Statement
TOTAL DUES TO BE CHARGED (membership, section/division, and chapter dues): $ ________
❍ Check enclosed, payable to Federal Bar Association Credit: ❍ American Express ❍ MasterCard ❍ Visa Name on card (please print) Signature of Applicant Card No. Signature Exp. Date Date Date
(Signature must be included for membership to be activated) *Contributions and dues to the FBA may be deductible by members under provisions of the IRS Code, such as an ordinary and necessary business expense, except 4.5% which is used for congressional lobbying and is not deductible. Your FBA dues include $14 for a yearly subscription to the FBA’s professional magazine.

By signing this application, I hereby apply for membership in the Federal Bar Association and agree to conform to its Constitution and Bylaws and to the rules and regulations prescribed by its Board of Directors. I declare that the information contained herein is true and complete. I understand that any false statements made on this application will lead to rejection of my application and/or the immediate termination of my membership. I also understand that by providing my fax number and e-mail address, I hereby consent to receive faxes and e-mail messages sent by or on behalf of the Federal Bar Association, the Foundation of the Federal Bar Association, and the Federal Bar Building Corporation.

Sponsor Documents

Or use your account on DocShare.tips

Hide

Forgot your password?

Or register your new account on DocShare.tips

Hide

Lost your password? Please enter your email address. You will receive a link to create a new password.

Back to log-in

Close