Membership Application
Central Illinois Paralegal Association
P.O. Box 1948, Bloomington, IL 61702
An Affiliate of the National Association of Legal Assistants
MEMBERSHIP APPLICATION
Name:__________________________________________________________________________________
Mailing Address__________________________________________________________________________
_________________________________________________________________________
Telephone: (w)_____________ (h)________________ fax:______________ e-mail:________________
I hereby apply for: active _______ student _______ sustaining_______ associate_________ membership in the Central Illinois Paralegal Association
Date______________________ Signature__________________________________
Dues: Active $50; Student: Full-time $45; Part-time $35; Associate $40; Sustaining $40
Please choose 3 committees, ranking them according to your preference
Membership____ Scholarship ____ Job Bank ____ Newsletter ____ Seminar ____ Meeting & Education ____
To Be Completed for Active Membership
Employer_____________________________________________________________________
Work Address_________________________________________________________________
_____________________________________________________________________________
Telephone w._____________________ h.___________________ fax:____________________
E-mail_________________________
How long employed as a paralegal/legal assistant?_______________________________________
Total years legal experience_________________________________________________________
Are you a Certified Legal Assistant (CLA)?_______
Formal Education (Name and Address of School)
_______________________________________________________________________________
_______________________________________________________________________________
Date of Graduation _______________________ Degree ______________________
Certificate_______________________________________________________________________
To Be completed for Student Membership
School attending________________________________________________________________
Degree__________________________ Certificate____________________________________
Full-Time_______________________ Part-time_____________________________________
Expected date of graduation_______________________________________________________
To Be Completed for Associate Membership
Address_______________________________________________________________________
Telephone____________________________________________________________________
Attorney_______________________________ Educator______________________________
To Be Completed for Sustaining Membership
Employer______________________________________________________________________
Work Address__________________________________________________________________
Telephone___________________ Position_________________________________________
Attorney-Employer Attestation
(To be completed by applicant with no formal training for paralegal/legal assistant)
I hereby attest that _________________________ is employed by me and is recognized as a paralegal/ legal assistant and that he/she, under the supervision and direction of a lawyer, is capable of the following services:
Applying knowledge of the law and legal procedure in drafting legal documents and other papers in certain areas of the law.
Preparing or interpreting legal documents for review by lawyers
Selecting, compiling and using legal information from such references as digests, encyclopedias, or practice manuals.
I further attest that the applicant ha been employed by me as a legal assistant for six (6) months or longer; that applicant’s ethical and professional conduct are above reproach, and he/she is recommended for membership in the Central Illinois Paralegal Association.
Signature of Attorney-Employer__________________________________________ Date_____________
