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* 1. Provide your first and last name

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* 2. Can we contact you before the CLE to discuss where you are at in your career re-entry and your experience with the process so far?

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* 3. Name of Law School, City, State & year graduated

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* 4. Bar Admission Year and State(s)(if applicable)

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* 6. Provide your work history after law school. For each position, list the employer, job title, years worked, FT or PT.

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* 7. While off the career track, if you have been involved in volunteer activities, list the organizations, your involvement, and number of years of service.

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* 8. How many years have you been out of the paid workforce?

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* 9. Select the reasons for stepping off the career track. Select all that apply.

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* 10. What are the reasons for wanting to step back into the paid workforce? Select all that apply.

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* 11. What steps have you taken to start the process to get back into the paid workforce? Select all that apply.

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* 12. What type of position are you interested in? Select all that apply.

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* 13. What do you think is the biggest obstacle to your re-entry?

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* 14. What do you hope to gain from this CLE?

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* 15. Provide explanation if you selected "Other" for questions 9-12:

Please use this space to list any other comments/questions you have.

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* 16. How did you hear about this CLE?

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