Please select the state in which your practice or business is located. 

If applicable, please select the second state in which you practice or do business. If your application is accepted, you will be given the opportunity to select a Membership Level that allows you to select multiple states.

Please select all Business Categories for which you seek membership by checking each category in the drop down menu. Only select business areas in which you actually provide professional services. You may select multiple categories, if/as applicable.

If your application is accepted, you will be invited to select certain sub-categories.

For each business category that you selected above (e.g., mental health, financial, attorney), type the category below and provide the year in which you received licensure or certification and what entity issued the licensure or certification. For example, "Attorney -  Georgia Bar, 1999". You may include multiple licenses and certifications, as applicable (don't forget to include the business area to which you are referring). 

Please select one or both of the following:

1. Attach your current Resume, Curriculum Vita or a comprehensive bio, including professional experience, education and certifications. This document must include your years of experience in each professional category to which you are applying and how long you have worked or practiced under each of your licenses and/or certifications. You may attach a Word document or .pdf; and/or

2.  Write such information in the next section.

Please describe your years of experience in each professional category to which you are applying and how long you have worked or practiced under each of your licenses and/or certifications. 

If all of such information is contained in a document that you uploaded in the previous step, then you may skip this section. 

Please provide a three (3) professional references, including:

(A) Name; 

(B) Relationship with you; 

(C) Company;

(D) Phone number(s); and

(E) Email address(es).

References should be people with whom you have worked in a professional capacity who can attest that you would be a good fit for this organization. Only one of your references may be a member of the Amicable Divorce Network (you can review members online at www.AmicableDivorceNetwork.com).

Have you ever received a private or public reprimand or sanction from the State Bar of Georgia or any other state bar, or any licensing authority applicable to your profession, or has your license ever been suspended or have you ever been sued for malpractice? 

Type YES or NO. 

If YES, please provide additional details. A "yes" answer will not necessarily disqualify you from membership. However, a false statement will be disqualifying.  

Do you have minimum billing requirements associated with any category for which you seek membership? 

If yes, we may contact you for more information, as the Amicable Divorce Network focuses on cost effective services for clients.

Approximately what percentage of your work is dedicated to family law? 

Please let us know of any questions you have about membership and we will contact you by phone or email.