Nomination and Application for Membership
All Applications Must be Received by December 4, 2017
Applicant(former Detroit Bar IOC members need only complete this section.)
Name: ______Date:______
Position sought (check one): Team Leader□ Master □ Barrister □ Associate □ Law Clerk □
(Judicial) (15+ yrs.) (5+ yrs.) (0-5 yrs.) (Student or non-attorney
professional)
DMBA Membership Status: Current Member □Application Enclosed□
2
Michigan Bar Number: P______Bar Admission Date: ______
Nomination Information
Nominator: ______Relationship to Nominee: ______
Self Nomination (check here): □
Professional Information
Firm/Court/Organization:
Address:
City: ______State: ______Zip:
Phone: ( ______) ______Fax: ( ______) Email:
Exact Position:
How long in this position?
Describe current responsibilitiesand type of practice:
Responsibilities in your two previous positions and number of years in each:
Educational Information
J.D.: ______Year: ______
BA/BS: ______Year: ______
Master’s Degree: ______Year: ______
Other (explain):______Year: ______
Personal Information(optional)
Home Address: ______
Home Phone: ______
Date of Birth: ______
Interests/Hobbies: ______
General Information
Why do you want to join the Detroit Bar Inn of Court? ______
What special skills or experiences can you offer as an Inn of Court member?
______
Resume
Please attach your most recent resume, if available, and any recommendation from your nominator (if applicable).
Affirmation
I affirm that I am (or soon will become) a member of the Detroit Bar and that, if selected as a member of the Detroit Bar IOC, I will meaningfully participate in the Detroit Bar program, comply with all applicable bylaws and rules of the Detroit Bar IOC, and otherwise act at all times in the best interests of the Detroit Bar and the Detroit IOC.
______
Return by email no later than December 4, 2017 to:
Mar Kovari, T 313-961-6120 x 206
1356 Penobscot Building 645 Griswold Street Detroit, Michigan 48226-4220
Phone 313-961-6120 Fax 313-965-0842 Web Site:
1