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* 1. Bar Number

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* 2. At this time, each of the Law Schools plans to hold their Law School Orientations on Professionalism in person; however, if the Law School Orientations on Professionalism are held virtually in 2021, are you willing to participate via a computer link on an online platform such as WebEx or Zoom using a laptop, tablet, or smartphone.

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* 4. First Name

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* 5. Last Name

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* 6. Nickname (For name badge)

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* 7. Geographic Location of Practice

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* 8. Contact E-Mail:

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* 9. Employer Name/Organization:

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* 13. Year admitted to Georgia Bar

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* 14. Have you ever been the subject of private discipline by the State Bar of Georgia or are you currently involved in a disciplinary proceeding with the State Bar of Georgia?

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* 20. Demographic Information OPTIONAL - Do you have any additional demographic information you would like to share with us to assist us ensuring diversity in Group Leader pairings?

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* 22. In Order of Preference (with 1 being your FIRST CHOICE and 5 being your LAST CHOICE), please indicate at which law school you would like to serve as a group leader.

  Atlanta's John Marshall Law School, Saturday, August 7, 2021 (approximately 9:30 am - 1:30 pm) Emory University School of Law, Thursday, August 12, 2021 (approximately 12 Noon - 4 pm) Georgia State University College of Law, Tuesday, August 10, 2021 (approximately 4:00 pm - 8:00 pm) Mercer University, School of Law, Friday, August 13, 2021, (approximately 12:30 pm - 4:30 pm) University of Georgia School of Law, Friday August 13, 2021 (approximately 12 Noon – 4 pm)
1 - First Choice
2 - Second Choice
3 - Third Choice
4 - Fourth Choice
5 - Last Choice

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