2011-12 YLD Nominating Committee Survey

1.Personal Information:(Required.)

Name:

Address:

Address 2:

City/Town:

State:

ZIP/Postal Code:

Email Address:

Phone Number:

2.Employment Information:(Required.)

Company:

Address:

Address 2:

City/Town:

State:

ZIP/Postal Code:

Email Address:

Phone Number:

3.Would you prefer to be contacted at home or work?

Home

Work

4.Are you a member of the MBA's Young Lawyers Division? NOTE: You must be an active dues paying member of the YLD to be considered for an officer or director position.

Yes

No

5.What is your MBA member ID number?

6.Which officer or director position are you seeking within the YLD?(Required.)

7.Please list your reason(s) for seeking the above-listed position:

8.Please list your prior participation in MBA and other volunteer activities:

9.Please list any other information you would like the Nominating Committee to consider:

10.Please submit your resume with this application or forward it in a separate e-mail to Jake Skinner at johnfskinner@gmail.com. A hard copy of your resume and application may be mailed to MBA Lawyers Division, ATTN: Nominating Committee, 20 West St., Boston, MA 02111.

A RESUME MUST BE SUBMITTED FOR YOUR APPLICATION TO BE CONSIDERED.