Membership Application Form Date* Date Format: MM slash DD slash YYYY Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix (e.g., Hon., Ms., Mrs.):* First Middle Last Suffix (e.g., Jr., III): If different, please enter your preferred first and or last name: Prefered First Name Preferred Last Name Job Title*Law Firm Name*Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*faxWebsite Please provide a link to your LinkedIn profile Email* Enter Email Confirm Email Membership Eligibility: Any legal professional who actively oversees, manages or administers the diversity and inclusion initiatives of their law firm and who spends 25% or more of their time doing so for firms with 249 attorneys or less and 33% or more of their time doing so for firms with 250 attorneys or more. In addition, each member is expected to proactively contribute to ALFDP’s ongoing mission through engagement and participation in one of the committees. The Board of Directors of the Association will review each application for membership, and retains the right to approve or deny applications in its full discretion. Please support your membership eligibility by responding to all of the following questions and requests: 1. Years as a law firm diversity and inclusion professional:*2. If applicable, years as a diversity and Inclusion professional outside of law firms:*3. What percentage of your time do you spend addressing diversity and inclusion matters for your firm*4. Do you hold a position within your firm that must be filled when vacated?*YesNo5. Are you compensated from the administrative payroll of your firm?*YesNo6. Do you have a billable hour requirement?*YesNo7a. If yes, what is the requirement?7. Do you receive credit for the time you spend on diversity and inclusion initiatives?*YesNo Please attach a job description, and provide summary details about your duties. For example, please identify whether you sit on your firm’s diversity and inclusion committee; manage the diversity and inclusion budget; prepare and/or deliver diversity and inclusion reports to your firm’s leadership; participate in diversity-focused recruiting, professional development and client relations/business development efforts; provide content for diversity and inclusion marketing materials and websites; coordinate diversity and inclusion survey responses; manage diversity and inclusion sponsorships; etc.*Job Description (required for membership)*Please Upload your Job Description; Job Descriptions are required for membership.Please describe the extent of your responsibilities in all areas identified above and note the title of all attorneys and/or legal professionals to whom you report. Also note if you report to any other professional responsible for diversity and inclusion initiatives at your firm.*Provide your team composition and who these individuals report to. If you are a Chief Diversity and Inclusion Partner, please provide your billable hours requirement above and explain how you balance your practice with diversity and inclusion efforts.*Please tell us how you learned about our organization:*Are you a former member of ALFDP?*YesNoPlease indicate which Committee(s) you are interested in joining.****** NOTE: You are required to make at least one committee choice. ***** Conference Committee Scout, select and secure location for ALFDP Annual Conference Develop innovative programmatic content for the ALFDP Annual Conference Handle onsite coordination of all conference elements and details Governance Committee Establish experience requirements and term limits for Board positions Revamp ALFDP committee structures as needed, and formulate key roles and responsibilities Update and review ALFDP strategic plan Create strategic alliances and partnerships with legal diversity organizations Media & Communications Committee Manage ALFDP’s online presence, including website development and maintenance, and develop and implement the social media strategy Lead content generation for the ALFDP blog and across preferred social media platforms Identify media and press opportunities, create press releases and field queries from journalists Membership Committee Collect information from members related to outside experience (i.e. Board positions, certifications, memberships, and other relevant D&I experience) Create an online library which contains data on preferred speakers, trainers and subject matter experts; industry benchmarking reports; surveys; and relevant articles Handle onboarding and integration process for all new ALFDP members Professional Development & Training Committee Oversee ALFDP membership calls and webinars Organize and facilitate ALFDP regional meetings Implement and oversee virtual mentoring groups Membership Dues: If your application is approved, the Association will invoice your firm for the annual membership dues. For firms which are not current members of ALFDP, the initial annual dues are $1,500 for the voting member and $250 for each non-voting member. For firms which are current members of ALFDP, the initial annual dues for each new non-voting member is $250. Annual renewal dues are $500 for the voting member and $250 for each non-voting member.CAPTCHANameThis field is for validation purposes and should be left unchanged.