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Membership Application Form

NB. Some of these questions are aimed at Personal Injury solicitors. If any of the questions do not apply to you, please leave them blank or answer them as well as you can. Other questions (where marked with an asterisk *) are for other professions (“Expert/Professional Members”)

First Name
Last Name
Profession
Organisation
Street Address
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Post Code
Phone
E-mail address(valid email required)
Memberships
If you selected other, please name the membership here
Length of time doing PI work
Position in organisation
What other types of work do you do?
Details of Public Funding Franchise
Experience in cases brought on behalf of a survivor of abuse (briefly)
Experience in similar types of cases? ie Family Mental Health work, Child Care, Education, Cases against Local Authorities (Briefly)
* Expert Qualifications and experience *
Membership of Associations involved in the sphere of Child Abuse/Work with the mentally handicapped
Relevant Courses attended or articles/books written (*For Experts we are interested in Report writing and courtroom skills *)

Agreement to terms

I agree to support the Aims of ACAL (full copy of Memorandum And Articles of Association available on request) & abide by the Code of Good Practise which I have read. I confirm that I work predominately on behalf of Plaintiffs in civil litigation cases/CICA cases

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