JRCLS Information Update Form

We want to be sure that the biographical information we have is correct. If you would like to notify us of a change, fill out the changed information below (please include your name, phone number, and e-mail address). If you have questions about a change you would like to make, please notify our Database Coordinator.

*Required
Please enter either the last four digits of your SSN or your birthdate. Both are not required, but we must have at least one. There are appropriate boxes for each one below.

Last 4 digits of Social Security Number (For Identification Purposes):
First Name*: Middle Name:
Last Name*: Prefix: Suffix:
Preferred Name: Class of*:
E-mail Address*: Birthdate (MM-DD-YYYY):
Home Phone Number: Work Phone Number:
Fax Number: Secondary Email/Website URL:
 
Home Address:
   Line 1:
   Line 2:
   City: State: Zip:
   Country, if not US
   
Business Information:
   Position:
   Firm or Company:
   Area of Practice (to make multiple selections, hold down the "ctrl" button while clicking):
   Address 1:
   Address 2:
   Address 3:
   City: State: Zip:
   Country, if not US:
   
Preferred Mailing Address: Home Business
Law School Information:    Year Graduated:
   
Bar Information (please list the state, year):
   Bar 1 :
   Bar 2 :
   Bar 3 :
   Bar 4 :
   Bar 5 :
   
Member Directories :    
I want to be in the member directory (password protected).    
I want to be in the general public access directory (non-password protected).    
I want to be in the Advising Network directory (password protected. See Career Services).

    
Other Information/News:
Spouse's Name