2022 HNBA/VIA Annual Convention CLE Proposal

Applicant/Moderator’s Name (Applicant/Moderator must be an actual participant on the panel):*

First

Last

Title (include whether a Partner):*

Organization/Firm Name:*

Address*

City State Postal / Zip Code

Phone *

E-mail:*

Years of Practice:*

Area of Expertise: (response limited to one sentence, no more than 100 characters.)*

Is the proposed panelist’s organization/firm an HNBA Conference sponsor?*

YES

NOT SURE

Please select a track - you may select more than one option.*

Advocacy & Litigation

Hot Button Issues for 2022 and Beyond

Public Interest/Government

Career Development for Young and Seasoned Lawyers

Proposed Title (Title Should be concise. Please do not include the words "EXPERT" or "RAINMAKER")*

Panel Description (Maximum 2-4 Sentences)*

PROPOSED PANELISTS

Please include at least 1-2 proposed panelists below. (NOT required at this time, but encouraged.)

Proposed Panelist Name: (1)

First

Last

Title (include whether a Partner): (1)

Organization/Firm Name: (1)

Address: (1)

City State Postal / Zip Code

Phone(1)

Email: (1)

Years of Practice: (1)

Area of Expertise: (1) (response limited to one sentence, no more than 100 characters.)

Is the proposed panelist’s organization/firm an HNBA Conference sponsor?(1)

YES

NOT SURE

Proposed Panelist Name: (2)

First

Last

Title (include whether a Partner): (2)

Organization/Firm Name: (2)

Address: (2)

City State Postal / Zip Code

Phone: (2)

Email: (2)

Years of Practice: (2)

Area of Expertise (2): (response limited to one sentence, no more than 100 characters.)

Is the proposed panelist’s organization/firm an HNBA Conference sponsor? (2)

YES

NOT SURE

Proposed Panelist Name: (3)

First

Last

Title (include whether a Partner): (3)

Organization/Firm Name: (3)

Address: (3)

City State Postal / Zip Code

Phone: (3)

Email: (3)

Years of Practice: (3)

Area of Expertise (3): (response limited to one sentence, no more than 100 characters.)

Is the proposed panelist’s organization/firm an HNBA Conference sponsor? (3)

YES

NOT SURE

Proposed Panelist Name: (4)

First

Last

Title (include whether a Partner): (4)

Organization/Firm Name: (4)

Address: (4)

City State Postal / Zip Code

Phone: (4)

Email: (4)

Years of Practice: (4)

Area of Expertise (4): (response limited to one sentence, no more than 100 characters.)

Is the proposed panelist’s organization/firm an HNBA Conference sponsor? (4)

YES

NOT SURE

Additional Comments:

Please complete the addition problem.