ATTORNEY PLACEMENT SERVICE APPLICATION
The Oklahoma County Bar Association Attorney Placement Service (APS) considers all applicants without regard to race, religion, sex, national origin, age, veteran status or disability.
Date _____________ (PLEASE PRINT ALL INFORMATION)
PERSONAL INFORMATION
____________________________________________________________________ ___________________
Last Name First Name MI OBA #
__________________________________________________________________________________________
All other names by which you have been known
____________________________________________________________________________________________________ E-mail Address
____________________________________________________________________________________________
Street Address Apt. # City State Zip Code
(___)_____________________(___)_________________________(___)____________________
Home Phone Cell Phone Other
EMPLOYMENT DESIRED
Temporary ______ Permanent ______ Full-time ______ Part-time ______
Date you can start _______________ Are you willing to start in another position? _____
Minimum hourly rate _______ Minimum salary _______ Benefits required? _____
Are you available to work overtime? _____ Do you want to work overtime? _____
If seeking part-time employment, what days/hours can you work? ______________________________________
Will you work on temporary assignments until you obtain permanent employment? _____
What size firm do you prefer? Solo ____ Sm. (2-10) ____ Med. (11-20) ____ Lg. (21+) ____
Do you have reliable transportation? _______
Circle each area of law in which you have experience and identify the amount of such experience:
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Type of Law
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Yrs. Exp.
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Type of Law
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Yrs. Exp.
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Type of Law
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Yrs. Exp.
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Type of Law
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Yrs. Exp.
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Administrative
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Constitutional
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General Counsel
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Med. Mal-Defense
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Admiralty
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Construction
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Health Care
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Med. Mal-Plaintiff
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Adoption
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Corporate Securities
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Immigration
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PI-Defense
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ADR
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Corporate Transactions
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In-House Counsel
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PI-Plaintiff
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Antitrust
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Criminal
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Insurance Coverage
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Patents
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Appellate
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Elder
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Insurance Defense
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Probate
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Aviation
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Eminent Domain
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International
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Products Liability
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Banking
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Employee Benefits
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Intellectual Property
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Real Estate
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Bankruptcy
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Entertainment/Sports
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Labor & Employment
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Social Security
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Class Actions
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Environmental
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Land Use
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Tax
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Collections
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Estate Planning
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Landlord/Tenant
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Utilities
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Commercial Litigation
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Family
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Legislation Analysis
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Workers Compensation
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Commercial Transactions
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Foreclosure
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Mergers & Acquisitions
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Other:
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What kind of law do you prefer? ____________________________________________________________________
Most experience in? ______________________________________________________________________________
What firms, corporations, and attorneys will you not work for? ____________________________________________
_______________________________________________________________________________________________
In what local area do you prefer to work? _____________________________________________________________
Are you willing to travel? _______
Are you presently employed? ______ May we contact your present employer? _____
When are you available to interview? ________________________________________________
SKILLS AND PROFESSIONAL AFFILIATIONS
Are you familiar with: Word Perfect _____ Microsoft Office ______ West Law ______ Lexus/Nexus _____ Computer legal research _____ Law library _____ ECF _____
Other: _______________________________________________________________________________________________
Professional memberships: _________________________________________________________________________
_______________________________________________________________________________________________
Professional certifications and licenses (identify type and date): ____________________________________________
_______________________________________________________________________________________________
GENERAL
How did you hear about us? ____________________________Have you registered with us before? _______
Where have you applied for employment over the past year? ______________________________________________
_______________________________________________________________________________________________
What other placement services are you working with? ___________________________________________________
_______________________________________________________________________________________________
Where have you worked on a temporary basis during the last year? _________________________________________
_______________________________________________________________________________________________
Have you ever been convicted of a felony? ______ If yes, explain: _________________________________________
_______________________________________________________________________________________________
CERTIFICATE AND AUTHORIZATION OF APPLICANT
General: I acknowledge that the use of this form, and my filling it out, does not indicate that any positions are open, nor does it obligate APS to further process my application. I certify as to the accuracy of the matters set forth herein and in any resume furnished to APS and understand that any omission or misstatement of fact may cause me to be refused placement or to be discharged. I further understand that a contract will exist between APS and each client to whom I may be introduced, which will require the client to pay APS a fee in the event the client hires me directly or makes a referral that results in another organization hiring me. I agree to notify APS immediately should I be offered direct employment by an APS client or by another organization as a result of a referral by an APS client within one year after my introduction to the APS client.
References: I hereby authorize APS to make such investigations and inquiries into my employment and educational history and other related matters as may be necessary in arriving at a placement decision. I hereby release employers, schools and other persons from all liability in responding to inquiries connected with my application and I specifically authorize the release of information by any schools, businesses, individuals, services or other entities, listed by me in this form or on my resume. Furthermore, I authorize APS to release any reference information it may obtain to its clients who request such information for purposes of evaluating my credentials and qualifications. I understand that I have the right to request information about the nature and scope of the reference materials APS obtains.
Date: _______________ Applicant’s Signature: _______________________________________________________ | 
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