The Leadership Institute For

Please complete the following registration form in it's entirety. * indicates required fields.

Name:	*
Title:
Organization:	*
Mailing Address:	*
City:	*	State: * Zip: *
Telephone Number:	*	Fax Number:
Email:		Bar No. (for each state):

Registration is[ $450 ] - The registration includes: The March 12, 2008 reception and the two-day seminar on
       March 13-14, 2008, including program materials, breakfast, lunch and refreshments.

       STUDENTS MAY REGISTER AT NO CHARGE. SELECT "CONTINUE PROCESSING" AND SKIP PAYMENT
       PAGE.” STUDENTS MUST CONTACT RHONDA SUTTLE AT rsuttle@leadingwomenofcolor.org FOR
       DETAILS.

How did you hear about The Leadership Institute?

	Email from Leadership Academy		Bar Association [ please specify]
	Friend or Business Associate		ICLE
	Web Site		Other

Additional Options

		Please check here if we have your permission to use your contact information in our directory.
		I wish to sign up for the 15 Minute Mentoring Session for attorneys who wish to get advise from women senior associates at law firms.
		I would like to participate in the "If I only had someone to talk to..." speed mentoring program as a: mentor mentee both
		I have been practicing for: 0-5 years 5-10 years 10-15 years 15+ years