2010 Nomination Form for Public Service Award in Law

GENERAL Information
Name of Law Firm
Name of Managing Partner Nominating Party
Office Address
Telephone Fax
Email Address
Information on Nominee
Name of Counsel
Full Title
Section of Executive Branch
Office Address
Telephone Fax
Email Address
NOTE: For all additional materials requested or required, which may include a supporting statement and other materials (see criteria), please send by email as an attachment, all the materials to academiccommittee@burtonawards.com

PLEASE NOTE THE FOLLOWING CRITERIA

A) A supporting statement is required which explains, in the third person, why the nominee has been exemplary in establishing or promoting public service.

B) The selection will be made on the following criteria: 1. counsel has been employed in the executive branch of government at any time over the last ten years; 2. the nominated party has demonstrated the highest level of professionalism and integrity.

C) Performance will be considered between the years of 2000 and 2009.

D) Only one nominee for each category can be submitted per law firm.

E) This completed nomination form together with a copy of the supporting statement should be submitted online at www.burtonawards.com and must be received by February 15, 2010.