Welcome to Hillsborough County Bar Association's Candidate Registration Form. Please provide us with information about you.
Contact Details
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First Name :
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Middle Name :
Last Name :
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Address :
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Address 2 :
Location :
Country :
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Afghanistan
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Gaza Strip
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Micronesia (Federated States of)
Midway Islands
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Poland
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Qatar
Reunion
Romania
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Rwanda
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Saint Kitts and Nevis
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Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
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Slovenia
Solomon Islands
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South Georgia and the Islands
Spain
Spratly Islands
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Suriname
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Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
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Uruguay
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Virgin Islands
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Zimbabwe
State :
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
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Nevada
New Hampshire
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Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
US Minor Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
City :
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Zip Code :
Phone :
Home :
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Work :
Cell :
Email :
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Alternate Email :
Employment Desired
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Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
US Minor Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Location ( Preferred ) :
State : City :
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Location ( Alternate ) :
State :
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Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
US Minor Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
City :
Type :
Attorney
Legal Administrator
Legal Assistant
Legal Nurse Consultant
Legal Secretary
ParaLegal
*
Permanent
Temporary
Temporary to Permanent
Full-time
Part-time
*
Practice Area :
Select one or more
(hold CTL key down for multiple selections)
Administrative
Admiralty
Adoption
ADR
Antitrust
Appellate
Aviation
Banking
Bankruptcy
Civil Right
Class Actions
Collections
Commercial Litigation
Commercial Tans.
Condominium
Constitutional
Construction Litigation
Contract Administration
Corporate
Criminal
Elder Law
Eminent Domain
Entertainment/ Sports
Environmental
ERISA
Estate Planning
Family Law
Finance
Foreclosure
Franchise
General Practice
Government
Graduate
Healthcare
Immigration
In-House Counsel
Insurance Coverage
Insurance Defense
Intellectual Property
International
Labor & Employment
Land Use
Landlord/ Tenant
Legislation Analysis
Litigation Support
M&A
Medical Malpractice
Nursing Home Defense
Personal Injury
PIP
Probate
Products Liability
Professional Liability
Real Estate Litigation
Real Estate Transactional
Regulatory
Research & Writing
Securities
Securities Litigation
Social Security
Tax
Technology
Telecommunications
Utilities
White Collar Crime
Workers’ Compensation
Compensation :
Minimum Compensation
Compensation Period :
Hourly
Weekly
Monthly
Yearly
Compensation Amount :
Desired Compensation
Compensation Period :
Hourly
Weekly
Monthly
Yearly
Compensation Amount :
Benefits :
Other :
Hours you are able to work :
FROM :
6 AM
7AM
8 AM
9 AM
10 AM
11 AM
TO :
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8 PM
9 PM
10 PM
Describe your ideal Position :
Background Information
Education :
Most recent first.
Degree
School / College
Grad Year
GPA
Ranking
1
- Select -
AA
BA
BBA
BCA
BS
JD
LLB
LLM
MBA
MCA
*
*
*
*
*
Comments :
2
- Select -
AA
BA
BBA
BCA
BS
JD
LLB
LLM
MBA
MCA
Comments :
3
- Select -
AA
BA
BBA
BCA
BS
JD
LLB
LLM
MBA
MCA
Comments :
Employment History :
Dates (MM/DD/YYYY)
Employer
Position
Location
1
From
*
*
*
*
To
*
Description of Job Duties :
*
Reason for leaving :
*
2
From
To
Description of Job Duties :
Reason for leaving :
3
From
To
Description of Job Duties :
Reason for leaving :
Skills and Professional Affiliations :
Computer Skills :
Abacus
Amicus
Case Map
Excel
Lexis/Nexis
Outlook
Power Point
Pro Docs
QuickBooks
Tabs
Time Matters
Time Slips
Word
Word Perfect
Languages :
English
French
Mandarin Chinese
Spanish
Other
Bar Memberships :
1.
Identify State
Date of Admission(MM/DD/YYYY)
Number
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Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
US Minor Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Member in good standing?
Disciplinary history?
2.
Identify State
Date of Admission
Number
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
US Minor Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Member in good standing?
Disciplinary history?
3.
Identify State
Date of Admission
Number
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
US Minor Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Member in good standing?
Disciplinary history?
Professional Associations :
Professional certifications and licences :
Publications and Presentations :
Activities and Achievements :
Other :
Send Resume
Please send us a detailed resume for more comprehensive visibility. If you cannot use the link below, please email your resume directly to: ppsi@ppsilaw.com
References
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Reference 1 :
Name :
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Title :
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Company :
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Relation to you :
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Phone :
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Email Address :
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Reference 2 :
Name :
Title :
Company :
Relation to you :
Phone :
Email Address :
Reference 3 :
Name :
Title :
Company :
Relation to you :
Phone :
Email Address :
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General Information
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