NJLAP Solo/Small Firm Peer Support Group Form
NJLAP Solo/Small Firm Peer Support Group Form
Please fill out this questionnaire and a group facilitator will be in touch with you shortly.
Please select your position in the New Jersey legal community.
*
Licensed to practice in New Jersey (formerly licensed to practice in New Jersey)
Pending admission in New Jersey
Attending a New Jersey law school
Conditionally Admitted in New Jersey
Living in New Jersey while attending a law school remotely
Out of state attorney living in New Jersey
Other
If you selected other as your position in community you can describe:
Name
*
First
Last
*
Last
Pronouns, please select…
She/Her/Hers
He/Him/His
They/Them/Theirs
No Pronouns, use name only
Other
Pronouns, please select…
If other pronouns, please provide
Email Address
*
Best Method to reach me is: (Please select)
*
Email
Mobile Phone
Home Phone
Work Phone
Mobile Phone Number
Home Phone
Work Phone
Mailing Street
City
State
Zip Code
County
*
Atlantic
Bergen
Burlington
Camden
Cape May
Cumberland
Essex
Gloucester
Hudson
Hunterdon
Mercer
Middlesex
Monmouth
Morris
Ocean
Passaic
Salem
Somerset
Sussex
Union
Warren
Out of State
If you are human, leave this field blank.
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