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ABA Law Student Division

Liaison Acceptance Data Form

Please complete and submit immediately

You must complete all information highlighted in red or you will receive an error message upon submission of this form.

Last Name First Name MI
ABA ID Lost your mbr number? Call 800/285-2221
   
   
Law School Entry Date (mo/yr) Expected Graduation Date (mo/yr)  
 
I accept the position of Law Student Division Liaison to

for the 2008-2009 bar year
I wish to decline the liaison position I was offered.
(If your are declining, please enter the information highlighted in red below below, then click here and complete that information highlighted in red before submitting this form. Thank you)

Although you are not required to do so, for ABA reporting purposes, we would appreciate your providing us with your racial backgound:

African American Percent of this heritage

American Indian/Eskimo Percent of this heritage

Asian/Pacific Islander Percent of this heritage

Hispanic Percent of this heritage

Middle Eastern/Arab Percent of this heritage

White/Caucasian Percent of this heritage

Other (please include percent)

Contact Information
 
Permanent Address
(where mail regarding your liaison position should be sent to your attention)
 
Address

City

State

Zip
   

Temorary Address
(where mail regarding your liaison position should be sent temporarily should you be unavailable for an extended period of time (i.e. summer break address if different that above, traveling abroad routing address, etc.)

 
Address
City
State
Zip
I will be at this address beginning through
     
Other Essential Contact Information
   
Primary Phone: Secondary Phone:
Email Address:
 
Permissions and Releases
In accordance with ABA privacy policy, your contact information cannot be released or shared without your permission. This includes use of your email address on our website. If you wish to have your email address linked to your name on the 2007-2008 electronic liaison directory, please complete the permissions and releases below:

I do not wish to have my email address made available on the Law Student Division website
I grant permission for the ABA Law Student Division to use my email address on the Division's website. Or, please use the following address:

Conference Call

You must participate on one of the following scheduled telephone conference calls with Division leadership to discuss the specifics of your role as a Division Liaison. Please check the call in which you plan to participate:

Wednesday, June 11 - 9:00 p.m. - Eastern Standard Time
Saturday, June 14 - 2:00 p.m. Eastern Standard Time

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