Member,
Chapter or State submitting the application
Contact
Information for Member, Chapter or State
Name
Phone
Number
Email
Address
Name
of Nominee
Location
of Nominee
Mailing
Address for Certificate
Reason
for Nomination (how the
nominee promotes the profession or furthers access to justice)
Description
of Nominee (this information will be posted to
the NALS Foundation website, 500 words or less please)
Nominee's
website if applicable (a link will be included
in the NALS Foundation recognition information)
List
of Local Newspapers and Legal Publications
Name
of First Publication
Address
of First Publication (email or postal address)
Name
of Second Publication
Address
of Second Publication (email or postal address)
Name
of Third Publication
Address
of Third Publication (email or postal address)
Bar
Associations, with Addresses
Name
of Local Bar Association
Address
of Local Bar Association (email or postal address)
Name
of State Bar Association
Address
of State Bar Association (email or postal address)
Other
Association
Address
of Other Association (email or postal address)
If
you have any questions please contact Jennifer Reed at reed@nals.org. If
you have not received an acknowledgement from Jennifer Reed
within 3 days, please contact the Resource Center.
Date
to be Awarded
