Application Form

Thank you for your interest in becoming a member of the Estate Planning Council of Hampden County. Please be sure to answer all questions. Please read the organization's objectives before completing this application. To view the council's objectives, copy and paste this link: https://www.estateplan-hc.org/council/aboutAddl

Two recommendations are required. One of the recommending parties must be from the same profession as the applicant, and the other recommendation must be from a current member of the Estate Planning Council of Hampden County. There can be only sponsor per firm listed.

Fill in the information below to apply for Estate Planning Council of Hampden County membership.

Personal Information

Office Information

Disciplines

Please indicate what discipline(s) you practice. You may select up to 5 disciplines.

Applicant Questionnaire




(Signature of applicant, if printing)
Date: Tuesday, January 18, 2022

Please contact estateplan-hc@dejazzd.com with questions about council membership.