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PBA Pro Bono Awards Nomination Form

For Pro Bono Attorney/Firm Award, please answer all questions.

For the Civil Legal Aid Attorney of the Year Award and the Chief Justice Ronald D. Castille Award, please answer questions 1, 2 and 7-10 only.

Upload supporting documents at the bottom of this form or mail to: PBA Pro Bono Office, 100 South St, Harrisburg, PA 17101.

If you have any questions, email [email protected] with Pro Bono Awards in the subject line.

Name of Nominee

Award

Pro Bono Award

Chief Justice Ronald D. Castille Award

Civil Legal Aid Attorney of the Year Award

Danna Rich-Collins Pro Bono Partner Award

Name of Person

Employer

Address

Phone

1. Why does your nominee deserve the award for which he or she is being nominated?

2. Does the nominee provide free legal assistance through a pro bono program; i.e., legal aid society, local bar association, pro bono project, lawyer referral service no-fee panel, etc?

Yes

If yes, name of program(s); If no, please explain the source of the pro bono work

3. Please estimate the number of pro bono hours donated in the last year

4. Number of clients served in the last year as a result of nominee's pro bono activities:

5. What are the nominee's principal areas of practice?

6. Please specify in which areas of practice the nominee's contribution has been made:

7. How did this nominee's service help promote civil legal aid? Is there any other information you wish to provide about the nominee?

8. Are there any stories of this person's work in the field that you can share? Can you provide any quotes from civil legal aid clients? Can you add any comments from peers in the field?

9. Does the nominee know he/she is being nominated for this award?

Yes

10. Name of Person and/or organization submitting this nomination, full contact information

Supporting Documents

Organization

Address

Phone

Fax