For AILA Use Only:
Member Number Assigned__________________________
Chapter_______________________________________
Bar (s) Checked _________________________________
Checked By _____________________________________
Date Checked ___________________________________
Payment Type Check #____________________________
MC Visa Amex Discover
Amounts Received: National ____________ ______________
Chapter_______________________________________
I hereby apply for International Associate status in the American Immigration Lawyers Association, and if
so accepted, I will abide by its bylaws, guidelines, and policies. I have read and understand the American
Immigration Lawyers Association International Associate provisions of the bylaws attached hereto, and
I agree that the decision of AILA on this application shall be final. I understand that AILA reserves the
right to require evidence of any of the statements contained herein, and that any misstatement may be
grounds for expulsion or denial of this application. All of the statements contained in this application
are true and correct to the best of my knowledge.
Signature of Applicant: ________________________________________
Date: ____________________________________________________
Submit completed application with payment to:
American Immigration Lawyers Association
ATTN: Membership Department, PO Box 424062, Washington, DC 20042-4062
or fax to (202) 783-7853
1. Contact Information:
Name (Mr./Ms.) ______________________________________________
Firm ______________________________________________________
Address ____________________________________________________
City/State/Zip ________________________________________________
E-mail Address _______________________________________________
Home Phone _________________________________________________
Work Phone _________________________________________________
Fax Number _________________________________________________
Firm Website ________________________________________________
2. Date of Birth:
Month ________ Day____________Year_________
3. Please list any languages, other than English, in which you are
proficient:
__________________________________________________________
4. Law School Graduate:
Year ______________________________________________________
School _____________________________________________________
5. Date of original admission to the Bar:
Month ________ Day____________Year_________
6. Presently licensed to practice law and an active member in
good standing of the Bars or Law Societies of:
__________________________________________________________
__________________________________________________________
7. If applicable, what is your bar number?
__________________________________________________________
NOTE : We must have your bar number or your application will be delayed.
8. Please describe your practice setting: (Check only one)
Solo Practitioner In-house Corporate Counsel
Small law firm (2-24 total attorneys) Legal services/nonprofit organization
Medium law firm (25-74 total attorneys) Law school facility/academic field
Large law firm (75+ total attorneys) Other
9. Eligibility Attestation:
By signing below, I hereby certify that:
________________________________________________________
• I am not practicing U.S. immigration law, including providing counsel on the
application of U.S. immigration laws and preparing immigration related petitions/
applications to be filed with U.S. government entities.
• I have not been suspended or disbarred by any court, mandatory bar association,
administrative agency, or other disciplinary authority during the past 3 years.
• I am a non-U.S. licensed attorney in good standing with the Court of the country
in which I reside and practice law.
• I am engaged in the practice of law and am in compliance with the law applicable
in every location where I maintain an office for the practice of law.
• I understand I have the right to advertise myself as an International Associate of
the association for marketing or communication purposes, if I use the following
disclaimer in at least 10 point font bolded beneath any reference to AILA International
Associate status stating the following: “I do not offer or provide legal services and/
or counsel concerning or related to the immigration laws of the United States of
America.”
• I understand that failure to comply with any of the items above shall result in my
loss of AILA International Associate status.
10. Payment Type:
Check (please make checks payable to AILA)
Note: all payments must be in U.S. dollars.
If you wish to pay by credit card, please complete the following:
MasterCard Visa American Express Discover
Card Number ________________________________________________
Exp. Date _______________________ CVV Code: ___________________
Name on Card ________________________________________________
Signature ___________________________________________________
Source Code: ______________
AILA International Associate status is non-transferable.
AILA Membership International Associate Application
I understand that AILA will collect and store the data provided in this application in order to determine my eligibility for membership in AILA, to enter my name, address and contact information into the membership roster,
to publish that information in a membership directory, to provide information on programs and services offered to members by AILA, and for other purposes related to the functions, services and activities of AILA. This data
will be shared with my primary AILA chapter, and any AILA chapters I subsequently designate. I may limit dissemination of information by AILA by updating communication preferences in my personal record at http://www.
aila.org/myaila. I understand that AILA is based in the United States and that the European Commission does not consider United States laws to provide an adequate level of data protection. If I am a resident of a country
of the European Union, I understand that my consent is the lawful basis for transfer of my personal data to the United States and that I can withdraw my consent at any time. I also understand that the transfer of my personal
data to the United States in the absence of adequate protection and without safeguards deemed appropriate by the European Commission may pose certain risks, including that United States law may not provide for data
processing principles, data subject rights, or enforcement of those rights analogous to those in the European Union. For a full description of AILA’s data collection and privacy policy, visit http://www.aila.org/privacy-policy.
PLEASE NOTE: For the security of your financial information
AILA does NOT accept credit card payments via email.
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