Award Nomination Submission Form

Your Name *

Name of the Nominator

First Name

Last Name

Which Award is this person being nominated for *

Best New Parental Defender (under 3 years)

Excellence in Trial Advocacy

Excellence in Appellate Advocacy

Lifetime Achievement

Special Award (for reasons not otherwise covered by above categories)

Name of Nominee *

Person you would like to receive the Award

First Name

Last Name

Phone Number of Nominee

(###)

###

####

Address of Nominee

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country