Application For Appointment To The Board Of Review Page 7
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12VIII
Legal Experience
20.
Describe chronologically your employment or legal practice since becoming a member of any
state bar. Include dates, names and addresses of all law offices, firms, companies or government
agencies with which you have ever practiced law, the nature of your affiliation with each, the
general nature of your practice, and any other relevant particulars. Also, please provide the name,
current address and telephone number of a person, preferably your supervisor, who can verify
your employment for each position listed below.
Law Firm or Practice Name:
May we contact this employer?
Yes
No
Street Address:
Telephone:
Nature of Law Firm or Practice and your specific duties:
City and State:
Zip Code:
Job Title:
Total Number of Employees Supervised by you:
Supervisor (if applicable):
Dates Employed:
Hours Worked Per Week:
Salary:
Reason for Leaving:
Law Firm or Practice Name:
May we contact this employer?
Yes
No
Street Address:
Telephone:
Nature of Law Firm or Practice and your specific duties:
City and State:
Zip Code:
Job Title:
Total Number of Employees Supervised by you:
Supervisor (if applicable):
Dates Employed:
Hours Worked Per Week:
Salary:
Reason for Leaving:
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