THE STATE BAR OF CALIFORNIA
2014 President’s Pro Bono Service Awards
NOMINATION FORM
DEADLINE: MARCH 17, 2014
INSTRUCTIONS
· Please refer to the Awards Information and Guidelines for criteria before completing the nomination form.
· Previous nominations are accepted but must be resubmitted with updated information for 2013 (see below).
· Answer all questions thoroughly. To enter text, click the cursor on each shaded expandable box.
· To move to the next question or text box, press “Tab.”
· To check boxes, click on the box or tab to it and press “Enter.” To uncheck the box, click on the “X”.
· Nominee’s current resume or biography with work history and supporting materials such as letters
of recommendation or other relevant materials are not required but strongly encouraged. The page limit for attaching supporting materials (not including resume) is 15 pages.
· Address letters of support to the “Standing Committee on the Delivery of Legal Services.”
· See Instructions for Electronic Submission below and in the Awards Information and Guidelines.
· If information is missing from the nomination form, the nomination may be disqualified. If information
needs to be clarified, the nominator may be contacted.
NOMINEE INFORMATION (Name of Individual, Team, Law Firm, etc.)Nominee: Title: State Bar of CA Member Number:
Employer, firm, law school or affiliation:
Address:
City: Zip Code: Nominee’s E-mail:
Work phone: Cell phone: Fax:
Please note: If the nominee is a law firm, corporate or government legal department, team of lawyers, association of lawyers or law school, please provide the name, phone number and email address for the representative who will be the point person for communications between State Bar staff and the nominee:
Name of Representative: Phone Number: E-mail Address:
Has the nominee been nominated previously? No Unknown Yes (see below for instructions to resubmit a nomination)
INSTRUCTIONS FOR RESUBMISSION
To resubmit a nomination already on file with the State Bar, please check the box below and provide the year the most recent nomination was submitted. Updated letters of support and information about the nominee’s pro bono contributions during calendar year 2013 must be provided in Sections A and B below, including pro bono work that began before 2013 (e.g. appeal, impact litigation) but was completed in 2013.
A State Bar staff member will confirm the resubmission by e-mail.
I would like to resubmit a nomination made in the year for the nominee named above.
AWARD CATEGORIES
Please check all award categories that apply (see award categories in the Awards Information and Guidelines):
Individual (attorney must a member of the State Bar of California):
Solo practitioner Recently admitted Limited active practice Corporate Government Law firm Law school faculty member Law student (currently enrolled in ABA or CA accredited school) Other:
Law Firm:
Firm as a whole Single CA branch office Team of CA lawyers from the same firm +
Law School ( ABA Accredited CA Accredited:
Law school as a whole Project or program Team of law students +
Partnerships of law students and other segments of the legal community Corporate: Legal department as a whole Team of CA lawyers +
Government: Legal department as a whole Team of CA lawyers +
Distinguished Pro Bono Service:
Bar association as a whole Team of CA lawyers from different firms or practices + Other:
+For Team Nominations: please provide name of each attorney team member and State Bar member number:
INFORMATION ABOUT NOMINEE’S PRO BONO WORK DURING 2013
A. Please answer each of the questions below in the expandable space provided regarding the nominee’s pro bono work from January 1 – December 31, 2013.
· If nomination is a resubmission, updated information for 2013 must be provided below.
· If the nominee is a law firm as a whole, describe the pro bono contributions by each California branch office.
Name, brief description and web address for each organization or program through which the nominee volunteered:
1.
2.
3. or more
Contact name, title, email, phone for each organization or program listed above:
1.
2.
3. or more
Description of specific pro bono services provided per organization above and impact of nominee’s pro bono work:
1.
2.
3. or more
# Hours contributed:
1.
2.
3. or more / For law firm or team of lawyers, breakdown hours for partners and associates who are State Bar of CA members: / For law schools or law students, provide hours for academic year 2012-2013:
# Persons served:
1.
2.
3. or more
# Cases or matters:
1.
2.
3. or more
What challenges or obstacles, if any, did the nominee face while doing pro bono work (such as economic hardship, geographic barriers, etc.)?
Describe the pro bono culture or policy of nominee’s employer, and how it affected nominee’s provision of pro bono services (please attach hard copy or include hyperlink to formal pro bono policy, if applicable):
Nominee’s principal practice areas:
(Note: for team of lawyers provide practice areas for each member: )
Number of California attorneys in nominee’s office:
· For law firm nominee, total number of CA attorneys firm wide: by branch office:
· For law school nominee, total enrollment in 2012-2013:
· For bar association nominee, total California attorney members in 2013:
If attorney fees were awarded to the nominee for pro bono services provided in 2013, attach or describe the arrangement for attorney fees between the nominee, the organization and the client; state amount of fees awarded; and explain how fees were distributed:
B. Please provide additional information about the nominee
· If nomination is a resubmission, please provide any updated information below.
· If the nominee is a law firm as a whole, provide information for each California branch office.
Nominee’s history of pro bono contributions including dates/length of time:
Special qualities of the nominee:
Previous recognition for pro bono efforts including dates:
Other current and previous volunteer, charitable or public service work:
Additional noteworthy information:
All information requested in Sections A and B above must be provided. If information is missing, the nomination may be disqualified. If information needs to be clarified, the nominator may be contacted.
NOMINATOR INFORMATION(Note: if nominator or joint nominator is a law firm, law school or other entity, please provide the name and contact information for a representative)
Nominator or representative: Title: Self-nomination
Relationship to nominee:
Nominator’s employer or affiliation:
Address:
City: State: Zip Code:
Phone: Fax: E-mail:
Joint nominator or representative: Title:
Relationship to nominee:
Joint nominator’s employer or affiliation:
Address:
City: State: Zip Code:
Phone: Fax: E-mail:
ADDITIONAL REFERENCE
Name of additional reference familiar with nominee’s pro bono contributions:
Relationship to nominee:
Additional reference’s employer or affiliation:
Address:
City: State: Zip Code:
Phone: Fax: E-mail:
INSTRUCTIONS FOR ELECTRONIC SUBMISSION
· Save the completed nomination form on your desktop and include the nominee’s name in the file name.
· The nomination form, current resume or biography with work history and dates are required and must be
submitted electronically via e-mail as Word documents.
· Additional supporting material and letters of support should be attached as PDF files (articles and pro bono
policies can be submitted via live URL links). Video web links, CDs and DVDs will not be accepted.
· Letters of support should be addressed to the “Standing Committee on the Delivery of Legal Services.”
· All attachments must be itemized in the body of the e-mail message and the size of all attachments
combined cannot exceed 10 MB. The page limit on supporting materials (not including resume) and letters of support is 15 pages.
· E-mail all nomination materials to Kimberly Warmsley at
by 11:59 p.m. Pacific Time on Monday, March 17, 2014. Please include in the subject line “2014 Pro Bono
Awards” and the nominee’s name.
· Do not include more than one nomination per e-mail.
· If it is a hardship to submit a nomination electronically, contact Ms. Warmsley at the e-mail address above,
or at 415-538-2176 about an alternative method for submission.
· Nominators will receive e-mail notification acknowledging receipt of each nomination. If you do not receive
an e-mail acknowledgment within 5 business days, please contact Ms. Warmsley to confirm receipt of submission.
Please note that each nominee will receive an e-mail notification from the State Bar that she or he has been nominated for an award with copy to the nominator.
SELECTION PROCESS AND AWARDS PRESENTATION
The State Bar Standing Committee on the Delivery of Legal Services (SCDLS) will review the nominations and submit its recommendations to the State Bar Board of Trustees in July for final approval. Decisions will be based on the criteria and factors listed in the Awards Information and Guidelines. The award will be presented on September 12, 2014 during the State Bar Annual Meeting in San Diego.
2014 President’s Pro Bono Service Awards Nomination Form
Page 4 of 4