Apply for NECCA Membership

Please answer all applicable questions, and be sure to check the certification at the end of the form. If you have trouble filling out or submitting this form, please contact us.

Thank you for applying to join NECCA!

Contact Information

First name: *

M.I.:

Last name: *

Title:

Organization/Company:

Name of employer or associated organization

Street Address: *

City: *

State: *

Zipcode: *

Work/Other phone: *

Fax:

E-mail address: *

This email address will be displayed in your profile and made available to other NECCA members.

Cell phone:

Home Information (Optional)

Street Address (home):

City (home):

State (home):

Zipcode (home):

Home phone:

Yes, include in NECCA directory

Company Law Department Information

Full-time Lawyers:

Part-time Lawyers:

Full-time Paralegals:

Part-time Paralegals:

Personal Information

Law school:

Year of Graduation:

Year of graduation from law school.

Bar admissions:

Yes, I am willing to mentor a colleague in transition

Membership Eligibility

Please check the applicable box to certify that you are eligible to be a member of NECCA.

Certification: *

I was a member of NECCA as of June 6, 2012 and have continued my membership without interruption since that date.

I am an attorney-at-law (i) who is not a member of, employed by, or associated with, a law firm and (ii) who renders legal services to a company or companies, either as an employee of such company or companies or other entity, or as an individual attorney whose practice is principally concerned with providing counsel to companies as an independent corporate counsel.

Date:

Website Login Information

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. This e-mail address will not be published and does not have to be the same as the e-mail address you entered above. This email address will only be used if you wish to receive a new password or receive other notifications through this website.