Alumni Support Network Registration Form


Name:
Business Address:
Business Telephone: Other Telephone:
Fax: E-Mail:
Law School, if not W&L: Law Graduation Year:
Undergraduate School: Current Employer:
Please list other relevant past employers:
If you served as a judicial law clerk, please indicate the judge and court:

Legal Practice Settings: (Please indicate each setting you can discuss with students, whether or not it is your current employment setting.)
federal government public interest business, non-legal
state government military academia
local / municipal government private practice other:
judiciary in-house / corporate counsel

Primary Subject Matter Area(s) of Law Practice:
administrative / regulatory education labor and employment
admiralty / aviation / transportation elder law litigation
antitrust environment, energy, resources public contracts
bankruptcy entertainment, sports public utility
communications estate, trust, probate real property
construction family law science / technology
corporate, general / advice general practice state / local government
corporate, transactional health care taxation, ERISA
corporate finance immigration tort trial, insurance
criminal justice individual rights / responsibilities other:
disability intellectual property
dispute resolution international

Size of each Office in which you practice or have practiced, in number of attorneys:(Please indicate each office size you are able to discuss with students.)
< 3 3 - 10 10 - 25 26 - 50 51 - 100 101 - 250 251- 500 > 500

Are there any communities of students (i.e. African-American, GLBT, over 30, Parents, etc.) to whom you feel you could provide specific additional assistance?
If so, please indicate which communities:
Are there any geographic areas you can discuss with students other than the area in which you now practice?
If so, please indicate which cities/states/regions:

How may....(check as many as apply)TelephoneE-mailU.S. mail
   ...law students contact you?
   ...the Office of Career Planning contact you?

Are you willing to do telephonic mock interviews for students preparing for interviews? yes no
Are you willing to host a law student traveling to your region for an out of town interview? yes no