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LSBA Elections - Young Lawyers Division Council Qualifying Form
Indicated District Representative on the Young Lawyers Division Council
First District
Second District
Third District
Fifth District
Seventh District
Candidate's Information
First Name:
Middle Initial:
Last Name:
Office Address 1:
Office Address 2:
City:
State:
AL - Alabama
AK - Alaska
AZ - Arizona
AR - Arkansas
CA - California
CO - Colorado
CT - Connecticut
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
DC - District of Columbia
AA - MilitaryAA
AE - MilitaryAE
AP - MilitaryAP
AS - American Samoa
FM - Federated Micronesia
GU - Guam
MH - Marshall Islands
MP - N Mariana Islands
NB - New Brunswick
PR - Puerto Rico
PW - Palau
VI - Virgin Islands
Out of Country - No State
Zip:
Phone:
format: 000-000-000
Fax:
format: 000-000-000
E-mail:
Date of Birth:
Month:
1
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Day:
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Year:
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1936
Date Admitted to Practice:
Month:
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Day:
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Year:
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2006
2005
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1941
1940
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1938
1937
1936
By selecting this checkbox, you certify by completing this form that the permission of the member nominated has been obtained.
Candidate's Biographical Data (optional)
Candidate's Nickname:
Law School:
Year Admitted in Louisiana:
Advanced Law Degree:
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No
Advanced Law Area:
Other Professional Licenses:
Louisiana State Bar Activities (list top five and dates)
Local/Specialty Bar Activities (list top five and dates)
Law School Activities (list top five and dates)
Verication Code:
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