TAMPA BAY TRIAL LAWYERS' ASSOCIATION
APPLICATION FOR OFFICER CANDIDACY


Name: ____________________________________________
Firm Name: ____________________________________________
Number of Years in TBTLA: _________
Position Sought in TBTLA: ______________________
Past Positions or Accomplishments on Behalf of TBTLA:

______________________________________________
Other trial lawyers's group affiliations:

______________________________________________
Reason for seeking office:

______________________________________________

______________________________________________

______________________________________________

______________________________________________


Signature: _____________________________ Date: ____________