2021 Speed Networking-Corporate Counsel/Government Agency

Please complete the questionnaire below. You will receive a confirmation of your submission from speednetworking@hnba.com. If you do not receive the confirmation, please check your spam/junk email folder, or contact speednetworking@hnba.com with any questions. We look forward to your participation!NOTE: This form should only be completed by corporations or government agencies seeking to interview as part of Speed Networking. Individual attorneys at firms who wish to participate must complete individual applications.

Select the one that applies to you:*

Name of Person Completing the Form:*

First

Last

Company of Person Completing the Form:*

Title of Person Completing the Form:*

Address of Person Completing the Form:*

City State / Province / Region Postal / Zip Code

Phone of Person Completing the Form:*

Area Code

Phone Number

E-mail of Person Completing the Form:*

Company/ Organization Website:*

Please complete the optional information below if your company/agency has a separate program coordinator (point of contact) and/or additional interviewers. If you have any questions, please contact speednetworking@hnba.com.

Program Coordinator Name:

First

Last

Program Coordinator Phone:

Area Code

Phone Number

Program Coordinator Title:

Program Coordinator Email:

Interviewer 1 Name:

First

Last

Interviewer 1 Phone:

Area Code

Phone Number

Interviewer 1 Title:

Interviewer 1 Email:

Interviewer 2 Name:

First

Last

Interviewer 2 Phone:

Area Code

Phone Number

Interviewer 2 Title:

Interviewer 2 Email:

Interviewer 3 Name:

First

Last

Interviewer 3 Phone:

Area Code

Phone Number

Interviewer 3 Title:

Interviewer 3 Email:

Please identify the practice areas where you use outside counsel and/or in-house counsel, including but not limited to: general counseling or opinion work, transaction, litigation, regulatory, employment, IP, environmental, financial, or M&A:*

Please provide any other relevant information that you would want potential outside counsel/in-house counsel to know about your company and your company's needs:*

Please complete the addition math captcha below.

Word Verification