/ Participant Application
Instructions:
  1. Please type responses in the grey boxes on this form.
  2. Answer all questions completely. Incomplete applications will not be considered.
  3. Submit your signed application no later than 5 p.m. on Monday, June 17, 2013.
  4. Applicants will receive final notice of the Steering Committee’s decision by Friday, July 26, 2013.
  5. If you have any questions, please call Caren Chopp at (317) 269-2000.

Applications may be submitted via U.S. mail, fax or email.
Mail: Bar Leader Series Application
c/o Caren Chopp
135 N. Pennsylvania Street, Suite 1500
Indianapolis, IN 46204
Fax: (317) 269-1915
Email:

Personal Information

Mr. Mrs. Ms. / Name:
Firm/Employer: / Position:
Area of Practice: / Email:
Business Address:
Phone: / Fax:
How long have you been admitted to the practice of law? / Years: / Months:
Have you previously applied for participation in the IndyBar Bar Leader Series? Yes No
If so, when? ______
Are you applying for a scholarship for the Bar Leader Series? Yes No
If you checked yes to the question above, a completed scholarship application must be submitted with your participant application in order to be considered.

How did you hear about the Bar Leader Series (please list specific persons if possible) and what motivates you to apply?

Each year the Bar Leader Series Steering Committee strives to create a class with a wide range of experiences. If you are inclined to provide information about how you will bring a diverse aspect or perception to the class if you are selected, please include it here:

Education
Please provide the following information with respect to your law school and college education.

University/College / Degree / Graduation Date / Major

Essay Responses
Please respond to each of the following in 250 words or less per question.

  1. What does leadership mean to you?
  2. What do you consider to be your most important leadership role to date, and what have you learned from the experience?
  1. Describe the leadership skills you possess and how you think that participation in the Bar Leader series will help you further develop those skills.
  1. How do you envision your board, community or IndyBar involvement to evolve in the next five years?

Volunteer/Community/Bar Activities
Please list the most important volunteer, community or bar association activities in which you are currently involved. (Please keep responses limited to 5 or less.)

Organization (including location) / Describe Activity -or- Positions Held / Dates of Involvement

List any other activities, leadership positions and honors/awards received that you desire to bring to the attention of the steering committee. (Please limit response to 200 words or less.)

Employment History
Please provide the following information with respect to all past employment following graduation from college (other than your current position):

Employer (including location) / Dates of Employment / Position Upon Leaving

References
Use this portion of the application to designate two individuals outside your firm who will serve as personal references to you and who are knowledgeable about your community service, leadership experience and skills.

Name:
Company/Organization:
Title:
Business Phone:
Business Email:
Name:
Company/Organization:
Title:
Business Phone:
Business Email:

Commitment & Signature
Bar Leader Series participants commit to the following:

Attend

  1. Ice Breaker Reception Alumni Reunion:August 28, 2013, 5-6:30 p.m., Rathskeller Beer Garden.
  2. Overnight Retreat: September 12-13, 2013, Waycross Camp and Conference Center
  3. Monthly Meetings: October 2013–April 2014, noon–5 p.m. See brochure for specific dates.
  4. One IndyBar Board of Directors meeting during the Series. Meetings are typically held the first Wednesday of the month from noon–1:15 p.m.
  5. Team presentations and graduation:May 20, 2014

Complete

  1. A team community service project. This component will require 2-4 hours per month outside of class.

I hereby apply to the Bar Leader Series of the Indianapolis Bar Association and understand the time commitment for the Series. I realize that I must attend the entire retreat and at least 75% of the monthly programs in their entirety in order to graduate from the Series. I understand this is the minimum requirementand failure to meet theserequirements or other program participation requirements shall lead, absent extraordinary circumstances, to removal and/or failure to graduate.Any such decision will be left to the discretion of the Indianapolis Bar Leader Series Steering Committee.

(Signature) / (Date)

I hereby understand the time commitment necessary for the above applicant to participate in the Bar Leader Series and fully support the applicant’s acceptance into the series.

(Signature of Supervisor)
(Printed Name)
(Title)

(Date)