Membership Application If you are interested in becoming a member of the Environmental Law Network please fill out the following application and we will contact you shortly. *indicates a required field. Name* Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Email* Website* Firm office location(s) Year Founded?Number of Attorneys at inceptionCurrent number of Attorneys?Current number of Principals / Partners / Shareholders?Current number of Associates?Geographical areas served by the firm What % of your firm's work is environmental?What % of your firm's work is other (describe)? What % of your firm's environmental work is litigation?What % of your firm's environmental work is non-litigation regulatory?What % of your firm's environmental work is policy-making (for government service)?What % of your firm's environmental work is transactionalWhat % of your firm's environmental work is other (describe)?What % of your firm's practice is federal?What % of your firm's practice is state?What % of your firm's practice is local?What are the limits of your malpractice insurance and rating of your insurer? Has Your firm, or any of its current Principals/Partners/Shareholders, had a malpractice claim or pending claim made against it or that Principal/Partner/Shareholder in the past 5 years?YesNoDescribe the claim and its current status or resolution (to the extent not confidential) Has your firm or any of its current Principals/Partners/Shareholders/or Associates had any disciplinary actions taken against them for violation of applicable ethical rules pending 5 years?YesNoDescribe the violation and the status of any disciplinary action and its resolution (to the extent not confidential) List no less than three and not more than five references for your firm. References can include clients, other environmental attorneys in your geographic area, consulting firms or government representatives.