NCAJ NEXT Leadership Program Application

Please complete the following application for the upcoming cohort of the NCAJ NEXT Leadership Program. Applications will be due Sept. 15. All applications will be confidentially reviewed by the NCAJ NEXT Leadership Program selection committee, and all applicants will be notified of their status by the Executive Director by Sept. 30.

At the end of the application, there is a link to a form for an applicant’s letters of recommendation. Please share that link with those who will be writing a recommendation on your behalf. Their entries will be confidentially directed to the selection committee for review.

NCAJ NEXT Application

Name

First

Last

Nickname

Date of Birth (MM/DD/YYYY)

Address

City

State/Province

Zip/Postal

Country

Preferred Email

Preferred Phone

Law School Name

Law School Graduation Date (MM/DD/YYYY)

Date Admitted to North Carolina State Bar (MM/DD/YYYY)

North Carolina State Bar Number

States Admitted to Practice

Courts Admitted to Practice (Please List)

Current Employer (Firm Name)

Current Job Title

Date Employment at Current Employer Began (MM/DD/YYYY)

Work Address

City

State/Province

Zip/Postal

Country

Work Email

Previous Employer (Firm Name)

Tenure at Previous Firm (Number of Years)

Total Years of Practice

Are you an individual PAC contributor?

Yes

Are you a firm PAC contributor?

Yes

Are you an AAJ member?

Yes

Are you an NACDL member?

Yes

How did you hear about the NCAJ NEXT Leadership Program?

Why do you want to participate in the NCAJ NEXT Program?