APPLICATION FORM FOR FAMILY LAW EXECUTIVE COMMITTEE

Name

Address

City

State, Zip Code

,

Telephone

Firm, Organization, or Sole Practitioner

E-mail:

What is your interest in becoming a member?

Please list areas of interest or experience

Other Section Memberships

Would you be able to serve on committees or assist with special projects?

 Yes        No

Are you an active member of the Section?

 Yes        No

Are you a member in good standing of the Utah State Bar?

 Yes        No