Membership Information: Renewing Member  New Member

Length of time working as a paralegal: Years / Months

Personal Information:

First Name:   MI:  Last Name: 

Please indicate any name change (if applicable): 

Employer:  

Business Address: (street, city, state, zip)
Street:
City: State: Postal Code:

Business Phone:   Business Fax:                

Business E-mail:

Home Address: (street, city, state, zip)
Street:
City: State: Postal Code:

Home Phone: Home e-mail (optional):

Student Information:

School attending:   

Anticipated graduation date: 

Preferred Listing in Membership Directory:

Type of Membership: (Click here for full descriptions.)

Areas of Specialization (Choose all that apply):

Be an active WNYPA member!

WNYPA is always seeking member input.  All members are encouraged to join.  (For more information visit www.wnyparalegals.org/committees).

Please consider serving on one or more of the following:

The Membership Committee is developing a Mentor Program.  If you would like to participate, please indicate your role by checking in the appropriate place.

              I would like to be a mentor.              I would like a mentor.

Educational Background:

Check highest level completed AND list any degrees/certificates.

Masters :

Bachelors :

Associates:

Paralegal Certificate Program:

High School:

Licenses, Registrations or Certifications:

     (e.g., R.N., RP, CLA)

Please tell us how you learned about the Western New York Paralegal Association and what type of events and/or seminar topics you are interested in:

How can we make WNYPA work for you?

I agree to be bound by The National Federation of Paralegal Association’s Model Code of Ethics and Professional Responsibility and by the Bylaws as adopted by The Western New York Paralegal Association, Inc.  I also attest that I have not been convicted of a felony and that I am not presently incarcerated.

I will be paying by Check (Use Confirmation Email as Invoice)