Please complete this brief survey.

All fields are required.

Where do you reside (so we can identify important contacts for legislative districts)
1. Current credential
2. Do you have an associate degree?
3. Are your currently working to achieve the 2,000 hours required by TMB?
4. Type of employer:
5. If you are an independent contractor, what % of your cases are Medicaid cases?
6. Are you interested in obtaining a Texas LSA?