2021 Speed Networking – Corporate Legal Department & 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:*Government AgencyCorporate Counsel High Resolution Logo* Name of Person Completing the Form:*FirstLast 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:FirstLast Program Coordinator Phone: Area Code - Phone Number Program Coordinator Title: Program Coordinator Email:_______________________________________ Interviewer 1 Name:FirstLast Interviewer 1 Phone: Area Code - Phone Number Interviewer 1 Title: Interviewer 1 Email: Interviewer 1: Availability to conduct 15-minute interviews by video conference during the week of April 26, 2021. Interviewer 1 Time ZoneESTCSTMSTPST Interviewer 1: Please identify the practice areas of interest where you have a need for assistance from outside counsel. Interviewer 1: Please indicate whether you are interested in meeting candidates for lateral opportunities. If so, please indicate the relevant experience required. Interviewer 1: Please provide any other relevant information that you would like program participants to know about your company and your company’s needs. _______________________________________ Interviewer 2 Name:FirstLast Interviewer 2 Phone: Area Code - Phone Number Interviewer 2 Title: Interviewer 2 Email: Interviewer 2: Availability to conduct 15-minute interviews by video conference during the week of April 26, 2021. Interviewer 2 Time ZoneESTCSTMSTPST Interviewer 2: Please identify the practice areas of interest where you have a need for assistance from outside counsel. Interviewer 2: Please indicate whether you are interested in meeting candidates for lateral opportunities. If so, please indicate the relevant experience required. Interviewer 2: Please provide any other relevant information that you would like program participants to know about your company and your company’s needs._______________________________________ Interviewer 3 Name:FirstLast Interviewer 3 Phone: Area Code - Phone Number Interviewer 3 Title: Interviewer 3 Email: Interviewer 3: Availability to conduct 15-minute interviews by video conference during the week of April 26, 2021. Interviewer 3 Time ZoneESTCSTMSTPST Interviewer 3: Please identify the practice areas of interest where you have a need for assistance from outside counsel. Interviewer 3: Please indicate whether you are interested in meeting candidates for lateral opportunities. If so, please indicate the relevant experience required. Interviewer 3: Please provide any other relevant information that you would like program participants to know about your company and your company’s needs.Please complete the addition math captcha below. Word VerificationSubmitReset
