Name: *

First Name

Last Name

Address: *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Business Phone: *

(###)

###

####

Cell Phone:

Optional, for board use only

(###)

###

####

Position Sought *

Student - A current law student

Associate - Recent law school graduates admitted to the practice of law for not more than five (5) years.

Barrister - members of a bar for at least six (6), and no more than fifteen (15) years.

Master - A member of the judiciary (active or retired), or lawyers and law school educators who have at least sixteen (16) years of experience in the legal profession.

Would you like to sponsor a student or public-interest attorney? ($100.00 per year) *

Yes

No

Maybe

Would you like to be considered for financial assistance? (Students, Public-interest and Government attorneys only) *

Yes

No

Participation Requirement *

I understand that participation is essential for membership in The Bennett Inn. I have reviewed the Inn meeting dates and I agree to attend all meetings. If I am unable to attend a meeting, I will find a substitute to attend in my place.

I understand that mentoring is a key aspect of The Bennett Inn and I agree to participate in mentoring activities on a regular basis outside of the regularly scheduled Inn meetings.