State Bar of Arizona
2017 Bar Leadership Institute Application

The submission deadline is June 23, 2017, by 5:00 p.m. Applicants will receive an electronic confirmation at the email address provided in their application.

Applicants will be notified of their selection status by August 11, 2017.

Active participation and attendance is vital to the success of the program. Participants are expected to attend all sessions. Exceptions to this policy must be approved on a case by case basis by the Bar Leadership Committee. Please discuss your application with your employer as participation in the program will require you to be absent from work on session days.

Thank you.


Please fill out this application form completely. Incomplete applications will not be accepted. Résumé must be uploaded in PDF or Word format.


GENERAL
Bar Number
Full Name
Date of Admission
Employer/Firm Name
Mailing Address
City
State
Zip Code
Phone
(555) 555-5555
Email
Primary area of practice

Your response to each of these questions cannot exceed 2,000 characters each.

1. Please list leadership roles you hold or have held in the legal and general community.
2. Why would you like to participate in the program?
3. What skills or attributes do you possess that would be beneficial to the program?
4. Please list any additional information (activities, membership, honors, awards, training) you would like the selection committee to consider when evaluating your application.

Upload resume
(PDF or Word only)

CONFIDENTIAL

Your answers to this portion of the application will assist the Selection Committee in their effort to achieve diversity among participants. Completion of this portion of the application is optional.

Gender

Ethnicity
Please check all that apply







Other Aspects
of Diversity

Please check all that apply


Other Diversity

REFERENCES

Please list three persons with knowledge of your attributes as a leader. Please have one of these individuals write a letter of recommendation that speaks to your leadership skills, ability and potential. Recommendation letters must be submitted via fta.azbar.org/filedrop/BLI_Applications (copy and paste the link and send to your recommender) or sent through mail to the address below by July 14, 2017. Letters should be submitted separately from the application. Applicants will receive an electronic confirmation at the email address provided in their application once the letter of recommendation is received. Applicants are responsible for ensuring their application is complete.

Name Phone Email

Acknowledgement of Program Requirements

By submitting this application I acknowledge and agree that full participation in all scheduled events is expected if I am accepted in the program. I understand that failure to participate fully in the program may result in dismissal from the program. I am also aware that upon completion of the program I am committing to one year of participation in the State Bar in some capacity, such as committee, section or by special appointment and/or participation in a specialty bar association or community organization.


QUESTIONS?

Should you have any questions regarding your application or this process, please contact:

Elena Nethers
Diversity and Outreach Advisor
State Bar of Arizona
4201 N. 24th St., Ste. 100
Phoenix, AZ 85016-6266
602.340.7393


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