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□

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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:

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