Affirmative Litigation (Nov 18-21, 2008) Orlando, FL

Instructions

Answer questions as they relate to you. For most answers, check the boxes most applicable to you or fill in the blanks.

Affirmative Litigation Training will be held November 18-21, 2008 at the Holiday Inn-Universal (5905 S. Kirkman Road, Orlando, FL).

The training also consists of an additional online component to be held October 27-November 17, 2008. Please note the technology requirement listed further along in this registration form.

Please provide the following (*required)

First Name*

Last Name*

Email*

Program Information

1.	Legal services/organization's name (Please provide program's full name, do not use acronyms)

2.	Program Mailing Address

3.	Phone Number

4.	Fax Number

General Information

Your role

	Advocacy - Attorney: Staff Attorney (Senior - 3 or more years experience)
	Advocacy - Attorney: Staff Attorney (Junior - 0 to 3 years experience)
	Advocacy - Attorney: Director
	Advocacy - Attorney: Supervising Attorney
	Advocacy - Paralegal (Senior - 3 or more years experience)
	Advocacy - Paralegal (Junior - 0 to 3 years experience)
	Administration - Executive Director
	Administration - Deputy Director
	Administration - Managing Attorney
	Pro-Bono Attorney (Private)
	Summer Fellow
	Support Staff - Legal Assistant
	Other:

6.	List your YEARS in practice:

7.	List your YEARS in legal aid (including with your CURRENT organization):

8.	List Your PRIMARY Area of Expertise:

	Child Advocacy
	Consumer Law
	Civil Rights
	Dependency
	Domestic Violence
	Environmental
	Employment Law
	Family Law
	Health Law
	Housing Law
	Immigration Law
	Juvenile Law
	Litigation
	Mental Health
	Public Benefits Law
	Senior Law
	Special Education
	Other

9.	Supervisor Name: (Supervisor information is for logistic purposes only. Supervisors receive general course information and materials)

10.	Supervisor Job Title

11.	Supervisor Phone

12.	Supervisor Email

13.	Supervisor Address (if different)

Technology Requirements

Please check with your IT/System Administrator to confirm your equipment meets the following criteria. Please contact Jimmy Midyette (Statewide Website & Technology Office) at jimmy@floridalegal.org or by telephone at 904-317-2980, if there are any technical questions.

Computer Hardware:
Intel or AMD, 500 Mhz or faster
256 MB RAM
Computer speakers or headphones

Computer Software:
Windows 98, 2000 SP4, or XP SP2, or Vista
Adobe Acrobat Reader
Browser: Internet Explorer 6+ or Mozilla Firefox 1.7+
Adobe/Macromedia Flash Player

Other:
Internet access via 56K modem or faster (Broadband strongly recommended)
DVD player (PC or standalone with television)

Dietary Needs/Other Consideration

14.	My special dietary needs are: (NOTE: Unfortunately we cannot provide true vegetarian and vegan meals. We will try, to the best of our ability, using the menus provided by the hotel, to ensure there will be food items available to fit everyone's needs.)

	None
	Vegetarian (No animal products, only vegetables, fruits, and sometimes eggs or dairy products)
	Vegan (Strict - no animal food or dairy products)
	Food Allergies :

15.	Personal Consideration(s) - Please describe:

Overnight Accommodations

16.	Please select

	I am requesting overnight lodging
	I do not need overnight lodging

17.	I acknowledge that should my cancellation result in FLS being accessed a first night's rooming cost, FLS will bill my program for the cost. Cancellation must be received by November 10, 2008.

I acknowledge and understand

18.	Room Description: All rooms are two room suites. Suites contain a bedroom (2 double beds); living room with sleep sofa and a kitchenette. Please reserve the following lodging:

	1BDR Suite ($89.00) Monday-Thursday night, Nov. 17-20, 2008 (4 nights)
	1BDR Suite ($89.00) Tuesday-Thursday night, Nov. 19-20, 2008 (3 nights)

19.	Preference

	Smoking
	Non-Smoking

20.	FLS does not arrange roommates. Do you plan to have a roommate for this training?

	Yes
	No

21.	Please provide your roommates name and email address

Thank you

22.	Please make certain your computer is ONLINE - then submit your registration. Your registration will not be properly submitted unless your computer is online with the Internet.

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