First Name *

Last Name *

Email *

Firm Name *

Address *

Street Address

City

State

Country

Postal Code

Practice Profile

If you work for a firm and have a website, please provide it

In which states are you licensed to practice law? *

Other

What percentage of your practice is plaintiff-side employment law? *

Do you currently handle litigation? *

Yes

Occasionally

Are you currently the subject of any pending bar, ethics, or disciplinary investigation? *

Yes

Is your license currently active and in good standing in every state where you are applying? *

Yes

Have you ever been denied admission or reinstatement to any state bar? *

Yes

Have you ever been the subject of any bar complaint, disciplinary action, or ethics investigation? *

Yes

Have you ever been convicted of a crime involving dishonesty, fraud, or moral turpitude? *

Yes

Have you ever been suspended, disbarred, admonished, or publicly disciplined by any state bar? *

Yes

Have you ever voluntarily resigned or surrendered your license while under investigation? *

Yes

Have you ever been sanctioned by a court for professional misconduct? *

Yes

If yes to any of the above, please explain:

Case Management & Capacity

How many new cases can you accept per month? *

Do you have malpractice insurance? *

Yes ( please upload Proof of Insurance)

Please upload Proof of insurance *