2021 Membership Application 2021 Membership Form Name* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Work Email Home Email Email* Preferred e-mail address to be added to the General GABWA listserv (no Yahoo, Bellsouth, AOL, AT&T, or Comcast emails please)* Cell Phone*Home PhoneWork PhonePreferred Phone ContactCellHomeWorkUndergraduate School*Undergraduate Graduation Year*Law School*Law School Graduation Year*Membership Level* Regular Associate Membership Law Student Student Associate If a Regular Member, state(s) in which you are license to practice law:*GABWA Committees & Initiatives Awards & Sponsorships -identify awards, complete nomination packages, research GABWA's sponsorship requests and make recommendations to E-Board Book Club –organizes GABWA’s bi-monthly book club meetings Community Service -coordinate service projects related to GABWA’s mission Communications-manage GABWA’s website and presence on social media platforms Fundraising -implement fundraising activities and identify opportunities to raise money for GABWA Gala and Auction -responsible for planning, promoting, and executing our signature fundraiser Inter-Bar Relations - identify cross-marketing and joint service opportunities with other bar associations Judicial & Public Office Academy (JPOA) – plan and facilitate sessions in GABWA’s annual academy to prepare members interested in pursuing public office Judicial Review - review judicial applicants to make recommendations to appropriate Judicial Nominating Commission Woman-to-Woman Initiative - mentoring program for attorney members; exchanges substantive legal support in specific practice areas Legal Education - identify CLE and educational opportunities for GABWA members and the community Legally Speaking - produce and generate topics for GABWA's cable-access television show Membership - plan and promote activities to increase and retain members and manage database of members Newsletter - identify and write articles of interest to our membership to include in our monthly newsletter Political Action (PAC) - monitor legislation, political issues and candidates seeking election to offices of interest to GABWA Regional Development - work with GABWA’s Regional Vice Presidents to ensure regional members are engaged and provided the opportunity to participate in GABWA’s programming Sister to Sister Mentoring - semi-monthly one-on-one mentoring for at-risk girls (ages 13 to 17) in the Fulton County Juvenile Court system Sections - assist in developing programming and fostering community among attorneys practicing in particular substantive practice areas Student Programs - develop opportunities and programming for college students and current law students (please select all the committee(s) or initiative(s) that you are interested in joining)Years of Practice:admitted to the practice in the last 12 months1-5 years6-10 years11-15 years16-20 years21 years or moreSubstantive Area(s) of Practice (please check all that apply):* Select All Administrative Law Alternative Dispute Resolution Antitrust Law Bankruptcy Corporate Criminal Law Education Law Environmental & Energy Law Family Law Health Law Immigration Law Intellectual Property International Law Labor & Employment Law Litigation Public Utility Law Real Estate Trust & Estates Technology Law Sports & Entertainment Law Tax Law Non-Attorney Non-practicing Attorney Other Employment Environment (please check all that apply):* Select All Judge Elected/Appointed Official (non-judiciary) Law Firm Partner Law Firm Counsel/Associate General Counsel In-House Counsel (non GC) Government Public Interest Solo Practitioner Legal Staff / Support Services (Paralegal, Legal Asst., Legal Secretary Attorney Placement/Recruiting Law School Faculty/Administration/Staff University Faculty / Administration/Staff Retired Attorney Non-practicing Attorney Retired non-attorney Business executive/owner (non-legal) Consultant Student Large firm (more than 75 lawyers) Mid-sized firm (less than 75 lawyers, but more than 10) Small firm (less than 10 lawyers) Non-profit or for-profit board member (non-legal) Currently seeking employment Areas of Interest:Geographic area where you work (Metro Atlanta):* Buckhead Central Fulton (Midtown, Downtown) Carroll County Clayton County Cobb County Coweta County DeKalb Douglas County Fayette County Gwinnett County Henry County North Fulton (Perimeter, Alpharetta) Northeast Fulton (Norcross, Tucker) Paulding County Rockdale County South Fulton Rockdale County North Georgia (Rome, Dalton, Forsyth County) Other If other, geographic region - Atlanta (where you work)Geographic area where you work (GABWA Regions):* Albany/Southwest Georgia (Tifton, Valdosta) Augusta/West Georgia (Athens, Madison) Columbus / East Georgia (LaGrange) Macon / Middle Georgia (Milledgeville) Savannah/Southeast Georgia (Brunswick/Waycross) Other If other, geographic region (where you work)Geographic area where you live(Metro Atlanta): Buckhead Central Fulton (Midtown, Downtown) Carroll County Clayton County Cobb County Coweta County DeKalb Douglas County Fayette County Gwinnett County Henry County North Fulton (Perimeter, Alpharetta) Northeast Fulton (Norcross, Tucker) Paulding County Rockdale County South Fulton Rockdale County North Georgia (Rome, Dalton, Forsyth County) Other Geographic area where you live (GABWA Regions): Albany/Southwest Georgia (Tifton, Valdosta) Athens Augusta/West Georgia (Madison) Columbus / East Georgia (LaGrange) Macon / Middle Georgia (Milledgeville) Savannah/Southeast Georgia Other If other, geographic region (where you live)GABWA Sections Please select the section(s) that you would like to join (you may select more than one): Select All Criminal Law Employment/Labor Law Entertainment & Sports Law Estate Planning & Probate Family Law Government/Public Interest In-House Counsel Intellectual Property Large Firm Legacy Counsel (practicing 20+ years) Solo/Small Firm Real Estate Transactional/Corporate Working Mothers Young Lawyer’s Division (up to 5 years of practice) Support GABWA Please select the way(s) in which you would like to support GABWA (you may select more than one): Provide refreshments for a meeting Host a meeting or event Other in-kind support :Provide monetary support in the amount of:To be allocated to General Funds OtherSupport The GABWA Foundation, Inc. The GABWA Foundation, Inc. ("GABWA Foundation") is GABWA's charitable arm, through which GABWA awards scholarships to deserving minority female law students and supports the Sister to Sister Mentoring Program and the Civil Pro Bono Project. The GABWA Foundation is a 501(c)(3) organization and all donations are tax-deductible. My payment includes the following amount to support the GABWA Foundation's programs $25 $50 $100 $250 GABWA Affiliate Membership Benefits: All GABWA members have access to opportunities available through our affiliate memberships with other bar organizations, including the National Bar Association, Atlanta Women's Alliance, National Association of Women Lawyers, Multi-Bar Leadership Council, and the National Conference of Women Bar Associations. If you would like to sign up for the National Bar Association mailing list and stay updated on their upcoming events log onto: http://eepurl.com/HQNWf Sponsor a Membership: If you would like to donate a GABWA membership, you may designate the recipient or GABWA will select an interested individual in need of sponsorship. Please include sponsorship amount with your dues payment. Regular ($100) Associate ($80) Law Student ($30) Student Associate ($30) Sponsored Member’s phone and/or email address:Allow GABWA to select a member for your sponsorship Regular ($100) Associate ($80) Law Student ($30) Student Associate ($30) Sponsored Member’s phone and/or email address:GABWA Regional Listserves: Please select one or more regions, if you would like to be added to the regional listserve(s): Albany Athens Augusta Columbus Macon Savannah Please mail this completed membership application with your check made payable to GABWA P.O. Box 4381 Atlanta, GA 30302. Note: Please allow 1-2 weeks for processing and access to the listserv if you choose to mail in your application and payment. CAPTCHA