Personal Information

Full Legal Name: *

Preferred Pronouns? *

Cell Phone Number: *

Email Address: *

Occupation: *

State of Residence: *

State(s) / Court(s) in which You Are Licensed to Practice Law (if applicable):

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Years in Practice (if applicable):

Any Languages Spoken Besides English?

Are You A Law Student? *

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School & Graduation Date (law students only):

List and Explain Any Experience You Have Had Serving as a Police Officer, Private Security Officer, Prosecutor, Judge, Police or Jail Informant, Witness in a Criminal Trial, Juror, Witness in a Police/Prison Misconduct Trial, or Any Similar Role. *

Why Are You Interested in Joining the DC Mass Defense Committee? *