ABA Young Lawyers Division - Affiliate Profile Form

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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

Affiliate Information
Name of Organization
Address1
Address2
City	State	Zip Code
Phone	Fax

Staff Contact
First Name		Last Name
Title
Email Address
Number of Supporting Staff
Organization’s Website Address

CURRENT FISCAL YEAR OFFICERS

Date president listed below takes office

Chair/President
First Name			MI	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?
	IF YES, please provide ABA Membership ID#


Chair-Elect/President-Elect or Vice Chair
First Name			MI	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?
	IF YES, please provide ABA Membership ID#

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.