Speaker Bank Application

AIPLA: the American Intellectual Property Law Association


Application for AIPLA Joint Speaker Bank for Diversity in IP Law and Women in IP Law Committees

1. Bibliography Information

2. Brief Biography Section (700 character max):

3. Education Section
4. Bar admissions (all states, agencies, etc.)
b. Admitted to Court of Appeals for the Federal Circuit:
c. Admitted to U.S. Patent and Trademark Office:
5. Photo Upload (300px X 300px):
(300px X 300px in jpg, png, gif)

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6. A current resume and curriculum vitae must be uploaded below. Please confirm the accuracy thereof by stating "Yes" below:
Upload your resume now.

100 MB maximum. File types accepted: pdf, doc, docx, ppt, pptx, ppsx, xls, xlsx

8. Areas Interested in Speaking (Check all that apply):
9. Technical Areas (Check all that apply):
10. Years of Experience
11. Select legal position(s) you have held (Check all that apply):
12. Firm Size:
13. AIPLA Committees that I am a Member (Check all that apply):
14. Publications/Notable Cases
15. Speaking and Travel Preferences (Check all that apply)
16. Personal Certification (Insert Initials):
I hereby represent that the foregoing information about me is true and correct as of this date. I hereby represent that I am a current member in good standing of the bar(s) (active or inactive) of the courts and agencies listed above, and that there is no disciplinary activity pending against me in any court, agency, or bar association. I acknowledge that if I am accepted for listing as an AIPLA speaker, the AIPLA has my permission to publish this application and all attachments thereto on the AIPLA website, for the benefit of those wishing to consult the list and the qualifications of those persons listed. I further understand and agree, if I am listed on the AIPLA Speaker Bank and speak at an event, that I hold harmless the AIPLA from any liability associated from my listing and selection as a speaker.
Electronic Signature:
Submission Instructions:

You MUST review your Application above for correctness and completeness BEFORE SUBMISSION thereof!!!! 

Submission of this Application may be made only via electronic submission. No paper filings will be accepted by AIPLA. When you are satisfied with the accuracy and completeness of your Application, submit it by typing the "New Code" (case sensitive) in the box below, and then clicking on the Submit button below.