HLSA of North Carolina Membership Participation Survey
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HLSA of North Carolina Membership Participation Survey
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1
. What is your first name?
What is your first name?
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2
. What is your last name?
What is your last name?
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3
. HLS Class Year
HLS Class Year
4
. Please provide the following BUSINESS CONTACT information.
Please provide the following BUSINESS CONTACT information.
Company:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
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
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Country:
Email Address:
Phone Number:
5
. Please provide the following HOME CONTACT information (Optional).
Please provide the following HOME CONTACT information (Optional).
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
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
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Country:
Email Address:
Phone Number:
6
. Cell phone number
Cell phone number
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7
. Which email address do you prefer we use?
Which email address do you prefer we use?
Home/personal
Work
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8
. Which telephone number do you prefer we use?
Which telephone number do you prefer we use?
Home
Work
Cell
Comment
9
. How would you like to be involved in the HLSA of North Carolina? (Please check all that apply.)
How would you like to be involved in the HLSA of North Carolina? (Please check all that apply.)
Steering Committee member
Leader/Co-Leader of a Shared Interest Group
Member of a Shared Interest Group
Plan an Event
Assist with Technology/Social Media
Member
10
. If you indicated above that you are interested in being either a leader or member of a shared interest group, which of the following shared interest groups would be of interest to you? (Please check all that apply, suggest others.)
If you indicated above that you are interested in being either a leader or member of a shared interest group, which of the following shared interest groups would be of interest to you? (Please check all that apply, suggest others.)
Academia
Arts & Entertainment
Career Transitions
Corporate Counsel
Criminal Law
Diversity and Inclusion
Finance/Investment Management
Government Lawyers
LGBT Lawyers and Straight Allies
Non-Legal Careers
Public Interest Lawyers
Recent HLS Graduates
Senior/Retired Lawyers
Women Lawyers
Other (describe below)
Other (please specify)
11
. List below all activities that you think HLSA of North Carolina should undertake.
List below all activities that you think HLSA of North Carolina should undertake.
12
. Suggestions/Comments
Suggestions/Comments
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