Referral Directory Survey

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1. Please provide your first and last name:

Please provide your first and last name: First Name
Last Name

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2. Please provide your BBO number (for Massachusetts attorneys) and Year of Admission:

Please provide your BBO number (for Massachusetts attorneys) and Year of Admission: BBO Number
Year of Admission

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3. Are you licensed in any other states? If so, please list the states, associated license numbers and year admitted:

Are you licensed in any other states? If so, please list the states, associated license numbers and year admitted: Are you licensed in any other states (Y/N):
Names of States:
License Number(s):
Year(s) of Admission:

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4. Has your license to practice law in Massachusetts or any other state or jurisdiction ever been suspended or revoked or have you otherwise ever been disciplined by the Board of Bar Overseers?

Has your license to practice law in Massachusetts or any other state or jurisdiction ever been suspended or revoked or have you otherwise ever been disciplined by the Board of Bar Overseers? Y/N
If yes, please provide the date and nature of the disciplinary action.

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5. Are you currently covered by professional liability insurance?

Are you currently covered by professional liability insurance? Yes

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6. Please provide your firm/company name, address, and preferred contact information:

Please provide your firm/company name, address, and preferred contact information: Firm/Company name:
Street
City
State
Zip
Email address:
Phone number:

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7. Please check off all practice areas in which you are competent:

Please check off all practice areas in which you are competent: Accidents & Personal Injury

Bankruptcy

Business (including corporate & starting a business)

Civil/Human Rights

Construction Law

Consumer Rights

Criminal Defense

Elder Law

Employment Law

Family Law

Franchise Law

Immigration

Intellectual Property

Medical Malpractice

Motor Vehicle (Speeding tickets, DUI, etc.)

Professional Liability

Real Estate (Commercial)

Real Estate (Residential)

Tax

Wills/Estates/Trust

Other: ___________________

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8. Please list all languages you speak and your fluency level (fluent, read/write only, speak only):

Please list all languages you speak and your fluency level (fluent, read/write only, speak only): Fluent:
Read/Write only:
Speak only:

9. Please check off if you are interested in either:

Please check off if you are interested in either: Pro Bono work:

Reduced Fee Work:

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10. Are you a current paid member SABA GB?

Are you a current paid member SABA GB? Yes

Referral Directory Survey
Exit this survey

1. Referral Directory Survey

*
1. Please provide your first and last name:

*
2. Please provide your BBO number (for Massachusetts attorneys) and Year of Admission:

*
3. Are you licensed in any other states? If so, please list the states, associated license numbers and year admitted:

*
4. Has your license to practice law in Massachusetts or any other state or jurisdiction ever been suspended or revoked or have you otherwise ever been disciplined by the Board of Bar Overseers?

*
5. Are you currently covered by professional liability insurance?

*
6. Please provide your firm/company name, address, and preferred contact information:

*
7. Please check off all practice areas in which you are competent:

*
8. Please list all languages you speak and your fluency level (fluent, read/write only, speak only):

9. Please check off if you are interested in either:

*
10. Are you a current paid member SABA GB?

Referral Directory SurveyExit this survey

1. Referral Directory Survey

*1. Please provide your first and last name:

*2. Please provide your BBO number (for Massachusetts attorneys) and Year of Admission:

*3. Are you licensed in any other states? If so, please list the states, associated license numbers and year admitted:

*4. Has your license to practice law in Massachusetts or any other state or jurisdiction ever been suspended or revoked or have you otherwise ever been disciplined by the Board of Bar Overseers?

*5. Are you currently covered by professional liability insurance?

*6. Please provide your firm/company name, address, and preferred contact information:

*7. Please check off all practice areas in which you are competent:

*8. Please list all languages you speak and your fluency level (fluent, read/write only, speak only):

9. Please check off if you are interested in either:

*10. Are you a current paid member SABA GB?

Referral Directory Survey
Exit this survey

*
1. Please provide your first and last name:

*
2. Please provide your BBO number (for Massachusetts attorneys) and Year of Admission:

*
3. Are you licensed in any other states? If so, please list the states, associated license numbers and year admitted:

*
4. Has your license to practice law in Massachusetts or any other state or jurisdiction ever been suspended or revoked or have you otherwise ever been disciplined by the Board of Bar Overseers?

*
5. Are you currently covered by professional liability insurance?

*
6. Please provide your firm/company name, address, and preferred contact information:

*
7. Please check off all practice areas in which you are competent:

*
8. Please list all languages you speak and your fluency level (fluent, read/write only, speak only):

*
10. Are you a current paid member SABA GB?