217 E. Edenton St. (27601)
Post Office Box 25908
Raleigh, NC 27611
Telephone: (919) 828-4620
Fax: (919) 821-9168
Web: www.ncbar.gov
SPEAKERSBUREAUVOLUNTEERSIGNUP:
PleasecompletethisformtovolunteertospeakabouttheStateBar,itsmissionandprograms.
1. Name: _______________________________________________________________
2. Address:____________________________________________________ __________
3. Email:________________________________________________________________
4. Phone:Office:______________________ Cell:________________________
5. LawFirmorEmployer:___________________________________________________
6. ExperiencewiththeStateBar:_____________________________________________
7. Subjectsyouare
willingtopresent:
Checkallthatapply:
StateBar’sRoleintheRegulationoftheLegalProfessioninNC
StateBar’sDisciplinaryProcess
StateBar’sEthicsProgram
Lawyer’sAssistanceProgram
LegalSpecializationinNC
ClientSecurityFund
IOLTA
LegalZoomandHB436
NCDentalBoardCaseandAnti‐TrustQuestionsintheRegulationoftheLegalProfession
Other: __________________________________________________________
8. Areyouwillingtotraveltomakeapresentation?
YesNo
Ifyes,howfarfromtheaddressabove:
50miles 100miles 200milesormore
9. Whichdaysoftheweekareyouavailableforpresentations: __________________________
10. Whattimeofdaydoyoupreferforpresentations:
MorningAfternoon Night
11. Howmanypresentationswouldyoubewillingtomakeina12monthperiod?____________