Apply for Regular Membership "*" indicates required fields 1234Payment HiddenEmail Address HiddenMembership StatusActiveNot ActiveHiddenRenewal Year20222023202420252026Name* First Last PhoneProfile Email Address* The email address that will appear on your website profileProfessionSelect all that apply Lawyer Coach/Facilitator Child Specialist Financial Professional Name of Practice Your Website Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code HiddenCDN Board Member Role HiddenCDN Board Member Position Liability and Collaborative VerificationLiability Insurance*All CDN members are required to have up-to-date professional liability insurance. Please state whether you currently have professional liability insurance, what company it is through, and the date the policy expires.Collaborative Training*Attorneys must complete at least an introductory two-day collaborative law training sanctioned by the IACP before becoming members. Financial and mental health professionals must complete the introductory training within six months of joining CDN. Have you participated in a two day collaborative law training sanctioned by the IACP? If so, through what organization did you complete your training and when did you complete your training? Additional Profile InformationThis information will appear on your profile on this websiteYour PhotoPhotos will need to be large enough to fill the required area (500pixels by 500pixels).Accepted file types: jpg, jpeg, gif, png, Max. file size: 15 MB.Areas of PracticeClick the + icon to add another area entry Add RemoveLicensesClick the + icon to add another license entry Add RemoveEducationClick the + icon to add another education entry Add RemoveCollaborative TrainingClick the + icon to add another Collaborative Training entry Add RemoveFee InformationBiography Membership FeesMembership Dues are set at each professional’s (attorney, financial neutral, mental health coach) hourly billing rate. One year of membership equals one billable hour. A Special Membership rate of $75.00 is offered to law students, paralegals, other law office staff. Sustaining Memberships are also available. Sustaining members contribute an additional $100.00 to CDN in addition to their yearly dues. Sustaining members are designated on the CDN website once the sustaining member sets up his or her website profile. The designation lasts so long as the member’s sustaining member dues are current.New Professional MembershipDO NOT REMOVE: Hidden in public display Price: Hourly RateLeave at $0 if you are creating a membership as a law student, paralegal or other law office staff. Sustaining MemberSustaining Memberships are also available. Sustaining members contribute an additional $100.00 to CDN in addition to their yearly dues. Sustaining members are designated on the CDN website once the sustaining member sets up his or her website profile. The designation lasts so long as the member’s sustaining member dues are current. I would like to be a Sustaining Member AgreementAs a member of the Middle Tennessee Collaborative Alliance (CDN), I agree to comply with the Ethical Standards and Principles of the International Academy of Collaborative Professionals (IACP), as listed at www.collaborativepractice.com. I also agree to abide by all of the Membership Requirements of CDN and have reviewed the CDN Protocols associated with my profession, all of which are listed on the documents page. I Agree Total Billing Address Same as previous Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Credit CardCard Details Cardholder Name Δ