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Community Lawyering (Dec. 8-10, 2009) Tampa,FL
Florida Legal Services and the Center for Legal Aid Education welcome you to the Community Lawyering Training on-line registration.

Answer questions as they relate to you. For most answers, check the boxes most applicable to you or fill in the blanks. Please be sure to have your program's approval to attend this training before submitting an on-line registration. Registrations received on-line are assumed to have been approved by your program. REGISTRATION DEADLINE - NOVEMBER 24, 2009

The Community Lawyering Training will be held at the Embassy Suites Hotel -USF/Busch Gardens, 3705 Spectrum Blvd, Tampa FL, Tuesday-Thursday, December 8-10, 2009. You will be responsible for making your own hotel reservations (see Recommended Hotel Accommodations). Hotel reservations must be received by NOVEMBER 24, 2009.

If you have any questions please contact Kathy Grunewald or Sharon Ferguson at the email addresses or telephone numbers listed below.

Thank you.

Kathy Grunewald
Statewide Director of Training
Florida Legal Services, Inc.
kathy@floridalegal.org
(850) 385-7900

Sharon Ferguson
Training Coordinator
Florida Legal Services, Inc.
sharon@floridalegal.org
(904) 768-8561

Please provide the following (*required)
First Name*
Last Name*
Email*

Program Information

1.
Legal services/Legal Aid program name (Please provide program's full name, DO NOT use acronyms)

2.
Program Mailing Address

3.
Phone Number

4.
Fax Number

5.
I am registering as a
Faculty Member (faculty meeting December 7, 2009) (Skip to Q. 16)
Training Participant

General Information

6.
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
Other:

7.
List your YEARS in practice:

8.
List your YEARS in legal aid (including with your CURRENT organization):

9.
Supervisor Name: (Supervisor information is for logistic purposes only.)

10.
Supervisor Job Title

11.
Supervisor Phone

12.
Supervisor Email

13.
Supervisor Address (leave blank if address is the same)

14.
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

15.
List Your SECONDARY 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

Dietary Needs/Special Consideration
Please Note: We cannot guarantee true vegetarian/vegan meals. Nor can we provide or guarantee food is free of any specific allergen. Any participant likely to suffer a severe anaphylactic reaction to an allergen or on a restrictive diet should consider bringing their own food. Each guest room at the Embassy Suites is equipped with a microwave and refrigerator.
16.
My special dietary needs are
None
Vegetarian (No animal products, only vegetables, fruits, and sometimes eggs or dairy products)
Vegan (Strict - no animal food or dairy products)

17.
Personal Consideration(s) - Please describe:

Recommended Hotel Accommodations
A rooming block has been reserved at the Embassy Suites-USF/Busch Gardens, Tampa, FL. Reservations can be made by emailing Ermy Rosales at ermy.rosales@jqh.com or by calling Ms. Rosales at 813-977-7066 (Reservation Department). To receive the group rate, you must identify yourself as part of the "Community Lawyering" training. Room rates are between $109.00 - $139.00 per night based upon occupancy. Reservations must be made by NOVEMBER 24, 2009. Reservations made after this date will be accepted on a space available basis.

Cancellations must be made by 4:00 p.m. day before arrival. Please confirm the cancellation policy when making your reservation.

All hotel rooms will be master billed to Florida Legal Services. FLS will then in turn, invoice your program. A credit card will be needed at check -in to cover incidentals.

Thank You
Please be sure you have provided a viable work email address, all future communications will be through emails.

You will receive a confirmation email once your registration is completed. Occasionally due to email restrictions this confirmation may not be accepted by your email server. DO NOT submit another registration. Contact our Training Coordinator, Sharon Ferguson at sharon@floridalegal.org to confirm whether your registration was received.

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