County Bar Recognition Awards Entry Form

County Bar Association:

Your name and title:

Address:

Telephone Number:

Title of Project:

Project Category:

Improvement of the Legal Profession

The Justice System

The Community

Project Initiated (month and year)

Project Completed (when?)

Project Continuing (project must have been in operation during 2016)

Please write a general description of the project that you are submitting and a brief analysis of positive effects:

Name and title of county bar representative who will be present at the CCBL Annual Seminar to accept the award:

Suggested media in your county to receive news releases and photograph of award presentation:

For security reasons,
please enter the following 5 letters
XJLLN
then click the submit button.

Please mail supporting documents to Susan Etter, P.O. Box 186, Harrisburg, PA 17108 no later than January 13, 2017.

Entry Deadline - Jan. 13, 2017
Any questions? Call Susan Etter, 800-932-0311, ext. 2256