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AFFILIATE PROFILE FORM
American Bar Association Young Lawyers Division

Your relationship with us is important. To ensure that your young bar organization remains active with the ABA YLD and continues to receive the many benefits of being an affiliate, please assist us by updating any changes affecting your bar’s profile.

GENERAL INFORMATION

Name of Affiliate Organization
Address1
Address2
City State Zip
Phone Fax    

Staff Contact:          
First Name Last Name    
Title        
Email Address        
Number of Supporting Staff:        
Organization’s Web Site Address?        

ORGANIZATION PROFILE

Choose one of the following that best describes your organization:
   State Affiliate
   International Affiliate
   Local Affiliate
   Specialty Affiliate
   Other (Please Describe):
Is your organization affiliated with a senior bar? Yes   No
   IF YES: Is membership in your organization automatic? Yes   No
Number of Young Lawyers in your organization:
How does your organization define its Young Lawyer members? Age   Yrs of Practice   Both
Please Explain:
If a state organization, are you a mandatory or   voluntary bar?
What is the overall budget for your organization?
Does your young lawyer organization charge dues? Yes   No
Does your organization have substantive committees? Yes   No
Is your organization affiliated with other bar associations? Yes   No
   IF YES: Please list

CURRENT FISCAL YEAR OFFICERS

Date president-elect listed below takes office as president:
 
Chair/President
First Name Initial Last Name
Leadership Position        
Firm Name        
Address1        
Address2        
City State Zip
Phone Fax    
Email Address
Is he/she a member of the American Bar Association? Yes   No
IF YES, please provide ABA Membership ID#

Chair-Elect/President-Elect or Vice Chair:
First Name Initial Last Name
Leadership Position        
Firm Name        
Address1        
Address2        
City State Zip
Phone Fax    
Email Address
Is he/she a member of the American Bar Association? Yes   No
IF YES, please provide ABA Membership ID#
Name of person completing form Email Address

By clicking ‘Submit’ I am granting or have been given permission to provide this contact information so that I or the contact provided may receive communications from the ABA YLD.

For assistance, please contact the ABA YLD at 312-988-5611 or via email at yld@staff.abanet.org.

 

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