Position _______________________________________________________________________________________________________

 

Yrs Employed as Paralegal Work E-mail _____________________________________________________________________________

 

Wk Phone Fax No. ______________________________________________________________________________________________

 

Preferred mailing address: ٱ Work ______ٱ Home _______  Date of birth (month/day) __________________________________________

 

May we share your e-mail address with other professional organizations? __________ Yes ___________ No

 

If you are certified, please state your certification (i.e., CLA, TBLS, etc.) ______________________________

 

All Active Members must have their supervising attorney

co-sign this application for approval

 

Attorney Name [Printed] Bar No. __________________________________________________________________________________

 

Attorney Signature Date _________________________________________________________________________________________

 

For Associate Membership only

[must be completed for approval]

 

If qualifying as a Student, please provide the name and address of Paralegal School/Program attending:

 

____________________________________________________________________________________________________________

(provide complete address)

Graduation Year ______________

 

If qualifying with prior work experience as a paralegal, please provide name of law firm/corporation, supervising attorney, address and telephone

 

number for verification: _______________________________________________________________________________________________

 

Please circle a Committee that you would like to serve on:

 

CLE        Membership        Public        Relations        Social        Website        Newsletter

Member who referred you? (optional) ___________________________________________________

Applicant Signature ____________________________________________________ Date ________________________________________

All renewal applications received after August 31 will incur a late fee of $15.

Please send completed application and check made payable to Houston Paralegal Association to: Houston Paralegal Association, Attn: Membership Committee, P.O. Box 61863, Houston, Texas 77208-1863. If you have any questions, please call Maria Rodriguez, CLA, 2^nd Vice President/Membership Chair, at 713.688.0801 or e-mail at maria@dieringerlawfirm.com. For more information about HPA, please visit our website at www.houstonparalegalassociation.org.