1.Your Name

2.Your Email

3.Your Telephone Number

4.To which committee are you applying to

Mediation Steering Committee

Arbitration Steering Committee

Discipline and Compliance Committee

Government Relations Committee

Under 40 Committee

ODR Committee

National Conference Committee

5.Please enter any relevant experience you have that would be beneficial to the committee that you have interest in joining, and your general intention statement

6.Any additional comments