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PBA Pro Bono Awards Nomination Form

PBA Pro Bono Awards Nomination Form

Nominations may be made at any time. If you need this form sent to you as a Word document, please email David Trevaskis at [email protected], and place “Pro Bono Awards Form” in the subject field.

Name of Nominee

For Pro Bono Award, please answer all questions. For all others, please answer questions 1, 7-10 only. Email supporting documents to [email protected] or mail to: PBA Pro Bono Office, PO Box 186, Harrisburg, PA 17108)

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

Employer

Work Address

Work Phone

Cell Phone (if available)

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?

YesNo

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?

YesNo

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

Organization

Address

Phone

Fax