Return this form and payment to:
Delaware Paralegal Association
Attn: Membership Director
P. O. Box 1362
Wilmington , DE 19899
Put a capital "X" here if you would like your mail to be sent to your home address.
APPLICATION FOR INDIVIDUAL MEMBERSHIP
Please type in your responses, print this page, and return to DPA along with dues payment.
Do not include resumés with your application.
**NOTE: Please do not fill out text boxes beyond visible area,
or your entries will not print correctly.
NAME: 
HOME ADDRESS:  
 
Street:  City:  
     
State: Zip:
EMPLOYER NAME/ADDRESS:  
TELEPHONES (w/area codes):  
     
Office:  Home:
E-MAIL ADDRESS: 
REFERRED BY: 
 
EMPLOYMENT HISTORY (list current employer first)

DATES (MM/YY)

NAME, ADDRESS OF EMPLOYER

POSITION SPECIALTY

DATE PARALEGAL DUTIES BEGAN (MM/DD/YYYY)

JOB DESCRIPTION

FROM:
TO:

         

FROM: TO:

         

FROM: TO:

REFERENCES (If you are currently self-employed as a paralegal, please provide professional references):
 
1. NAME AND ADDRESS:  
 
TELEPHONE:
2. NAME AND ADDRESS:
: 
TELEPHONE:

EDUCATION

 

NAME AND
LOCATION OF SCHOOL

DATES ATTENDED

IF YOU GRADUATED, DEGREE OBTAINED

COLLEGE

PARALEGAL TRAINING (INDICATE IF ABA APPROVED)

OTHER TRAINING

HAVE YOU EVER BEEN CONVICTED OF OR PLED GUILTY TO A CRIME? (do not include minor traffic offenses) IF YES, WHEN? (MM/DD/YYYY)
GIVE DETAILS:
PROFESSIONAL/COMMUNITY MEMBERSHIPS & ACTIVITIES:
DPA MEMBERSHIP CATEGORIES

CHARTER MEMBERSHIP (VOTING/NON-VOTING): Those paralegals who have established their membership in the DPA by September 24, 1976. Charter members shall not have voting, elective or representative privileges unless they meet the requirements for Full membership but shall be entitled to participate in the activities of the DPA.

FULL MEMBERSHIP (VOTING): Any person who is currently employed as a paralegal and (1) possesses a paralegal certificate from an ABA-approved paralegal studies program and has 6 months of work experience as a paralegal; OR (2) has graduated from a 2 or 4 year accredited educational institution and has 6 months of work experience as a paralegal; OR (3) has three years of work experience as a paralegal. Full members shall have voting, elective and representative privileges.

ASSOCIATE MEMBERSHIP (NON-VOTING): Any person who (1) has completed an ABA-approved paralegal studies program leading to a position as a paralegal; OR (2) has at least 1 year of work experience as a paralegal but is not employed as such at the time of application or renewal for membership; OR (3) any person employed full time as a paralegal, but who has not met the work experience requirements for Full membership. Associate members shall not have voting, elective or representative privileges but shall be entitled to participate in the activities of DPA.

STUDENT MEMBERSHIP (NON-VOTING): Any person who is enrolled in an ABA-approved paralegal studies program leading to a position as a paralegal. Student members shall not have voting, elective or representative privileges but shall be entitled to participate in the activities of DPA.

 
INDICATE MEMBERSHIP TYPE APPLIED FOR
ANNUAL DUES
+
APPLICATION FEE
=
TOTAL ENCLOSED

PRO-RATED DUES AMOUNT

If applying between Jan. 1 and April 30, pay only HALF the dues amount plus the $10 application fee

If applying between May 1 and June 30, pay the FULL dues amount plus the $10 application fee. Your membership will run through the end of the next fiscal year.

DPA FISCAL YEAR
JULY 1 – JUNE 30
(Please place a capital "X" in the box beside your membership choice)
CHARTER
$60.00
$10.00
$70.00

FULL
$60.00
$10.00
$70.00
ASSOCIATE
$45.00
$10.00
$55.00
STUDENT
$35.00
$10.00
$45.00
 
An Applicant must apply for the highest class of membership for which he/she is eligible.  Should the Board of Directors determine that you are eligible for a higher membership level than the one for which you applied, you are responsible for paying the difference in membership fees.
IF YOUR APPLICATION IS SUBMITTED DURING THE TRANSITION FROM ONE FISCAL YEAR TO THE NEXT (BETWEEN JUNE 1 AND JULY 31), THE PROCESSING OF YOUR APPLICATION MAY BE DELAYED.
Dues payment and application fee must be received with application for application to be considered. Contributions or gifts to the Delaware Paralegal Association are not tax deductible as charitable contributions. However, they may be tax deductible as ordinary and necessary business expenses.
COMMITTEE PARTICIPATION

DPA encourages the active participation of all its members, which is necessary to have an effective organization. An excellent way to become involved is through the various DPA activities and committees. Please indicate your interest below. You will be contacted by the appropriate Director or Chair.
(Please place a capital "X" beside your selections.)
Continuing Legal     Education
Marketing
National Affairs
Pro Bono
Programs (Luncheons)
Special Events (i.e., Paralegal-Attorney events in all counties, Annual Meeting, Law Day, etc.)
   
I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts requested is cause for disqualification for membership in the Delaware Paralegal Association. I agree to have my name and business information published in the “Members Only” section of the DPA website. Renewal dues are payable annually. Membership status may be changed to reflect current employment. I will notify DPA of any change in my employment status and any change of my mailing address.
APPLICANT SIGNATURE:
(sign after printing)		 ________________________________________
DATE:(date after printing) ________________________________________
FOR ASSOCIATION USE ONLY  
DUES PAYMENT RECEIVED: AMOUNT: DATE OF BOARD APPROVAL:
MEMBERSHIP CATEGORY: CHECK#: F/P:
REVISED 8/15/07