Please complete the following information.

Should you have questions about the application please call Linda Wiley at 1-312/988-5673


First Name:


Last Name:


ABA Member No:  *1


Law School


Graduation Month/Year


Address:



City:


State:


Zip:


Business Telephone


Work/Cell


E-mail:


If you currently hold a leadership position in the Law Student Division or TIPS,
please identify your position:


Are you applying for :
Liaison Only
Vice-Chair Only
Either Position

If you are applying for a liaison position, please rank
your preference among the following three Standing committees: *2
Diverstiy in the Profession
Law in Public Service
Long Range Planning

If you are applying for a law student vice-chair position, please rank
your preference among the following three General committees: *3
1st Preference
2nd Preference
3rd Preference

If your desired committee is unavailable, will you accept
an appointment to any open committee?
Yes
No

Areas of practice that you have an interest:


I understand that only liaison positions are funded positions within TIPS. If I am appointed to a liaison position, I agree to attend all meetings for which my participation is funded. I understand that as a vice-chair, I would not be funded by TIPS, but am welcome to attend TIPS meetings at my own expense or if paid by my school or another source.
I Agree