IJC Member Application

Name*
First Last
Title
Court/Agency/Jurisdiction*
Preferred Mailing Address*
Street Address Address Line 2 City State ZIP Code
Telephone Number: Chambers/Office
Telephone Number: Cell
Personal Email Address*
Law School*
Date of Admission to the Bar:*
Date Format: MM slash DD slash YYYY
Are you a member in good standing of the Illinois Bar?*
- Yes
- No
Current Judicial Assignment:*
Are you an ALJ/ Hearing Officer/Commissioner?*
- Yes
- No
Please describe your duties as an ALJ/ Hearing Officer/Commissioner:
Please indicate the percentage of time you spend on:
Judicial Duties:
Please enter a number from 0 to 100.
Appearing in Appellate/Circuit/Federal Court:
Please enter a number from 0 to 100.
Other Legal /Non-Legal:
Please enter a number from 0 to 100.
Please indicate which activities and committees you would like to work on this bar year:*