2010 Nomination Form for Public Interest Award in Law

GENERAL Information
Name of Law Firm
Name of Managing Partner Nominating Party
Office Address
Telephone Fax
Email Address
Information for General Counsel
Name of Counsel Nominated
Name of Corporation
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 interest.

B) The selection will be made on the following criteria: l. the nominee serves as general counsel in one of America's corporations; 2. on a pro bono basis has made a significant contribution or has had a significant impact on the public interest.

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.

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