Additional information
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A Special Section to be published in
Additional Information
Nominee Name
Law Firm Name
Phone Number
Email Address
University where law degree obtained
Year graduated from law school
Specialty areas of practice
Are you currently a member of the bar association? Yes No
In which states are you licensed to practice law?
Are you actively practicing law at the present time? Yes No
Have you received any awards or recognitions or distinctions for the practice of law- List?
Have you participated in providing legal services in a case before the Supreme Court of any state? Yes No
Have you participated in providing legal services in a case before the Supreme Court of the United States or a federal Court of Appeals? Yes No
Have you ever been reprimanded, placed on probation, suspended, or disbarred for misconduct? Yes No
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