2022 IPLI RSVP Name*FirstLast Email* Phone * Title* Company* Please select all that apply:*Corporate SponsorLaw Firm SponsorSpeakerMentorOther Monday, June 6, 20228 - 9 AM: Breakfast & Intro to IPLI11 AM - 12:30 PM: National Archives (Limit to 35)6 - 8 PM: IPLI Welcome Dinner Tuesday, June 7, 20227:00 – 8:00 AM: Breakfast @GWU12:30 – 1:45 PM: Lunch @Google Wednesday, June 8, 20221:30 – 3:00 PM: U.S. Copyright OfficeNoon – 1:00 PM: Lunch at GWU Law; Sponsored by Meta6:00 – 9:00 PM: Interview Workshop Dinner – Mock Interviews; Sponsored by DWT Thursday, June 9, 20221:00 – 4:00 PM: Visit to USPTO6 PM: Sponsor’s Dinner Hosted by HNBA Friday, June 10, 202211:30 AM – Noon: Lunch at Finnegan5:00 – 7:30 PM: Closing Reception & IPLI Closing Remarks; Sponsored by Hogan Lovells Do you have any dietary restrictions or do you require any special accommodations? If so, please provide details. Word VerificationSubmitReset
2022 HNBA/VIA Annual Convention CLE Proposal Applicant/Moderator’s Name (Applicant/Moderator must be an actual participant on the panel):*FirstLast 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?*YESNONOT SURE Please select a track - you may select more than one option.*Advocacy & LitigationHot Button Issues for 2022 and BeyondPublic Interest/GovernmentCareer 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 PANELISTSPlease include at least 1-2 proposed panelists below. (NOT required at this time, but encouraged.) Proposed Panelist Name: (1)FirstLast 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)YESNONOT SURE Proposed Panelist Name: (2)FirstLast 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)YESNONOT SURE Proposed Panelist Name: (3)FirstLast 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)YESNONOT SURE Proposed Panelist Name: (4)FirstLast 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)YESNONOT SURE Additional Comments: Please complete the addition problem. SubmitReset
2022 HNBA Advocacy Days Reception RSVPThursday, May 19, 20226:00 - 8:00 p.m. ETSponsored by McDermott Will & Emery500 N Capitol St NW, Washington, DC 20001 Name*FirstLast Email* Position* Company*CODE OF CONDUCT & COVID-19 PARTICIPATION POLICYHNBA Code of Conduct Code of Conduct*I confirm that I have read, understand, and agree to the above HNBA Code of Conduct linked above.HNBA COVID-19 Participation Policy COVID*I confirm that I have read, understand, and agree to the above HNBA COVID-19 Participation Policy linked above.PROOF OF VACCINATION VaccineProof*I hereby agree to the HNBA COVID Vaccine Policy and will present my vaccine card OR a clear and legible photo of the vaccine card as proof that I have been fully vaccinated against COVID and received at least one booster shot. I understand that I will be unable to participate if I do not comply with this policy. Addition CaptchaSubmitReset
2022 IPLI Scholar Required InformationIPLI2022 SCHOLAR INFORMATION Name (Preferred)*HNBA Membership is required to participate in IPLI. Law student membership is free. CLICK HERE to sign up. HNBA membership*I confirm that I am a current HNBA Member.__________________________IPLI2022 SCHOLAR TRAVEL INFORMATION(Travel dates will be on Sunday, June 5th, and returning the following Saturday, June 11th.) Name (Must match ID you will be using to travel)* Sex*MaleFemaleNon-binary Age* Date of Birth*01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 20222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year Phone* Email (HNBA/VIA will be sending a per diem via electronic payment to this email address closer to the program dates.)* Departure City/State* City State / Province / Region Specific Airport* Do you have any dietary restrictions or do you require any special accommodations? If so, please provide details.__________________________BIO AND PROFESSIONAL HEADSHOT(Your bio and headshot will be published in the IPLI2022 booklet. Please proofread before submitting this form.) Bio (max 500 characters)* Hometown* Law School* Law School City, State* Law School Grad Year* Undergraduate School* Undergraduate School City, State* Undergrad Grad Year* Professional Headshot (min 300 dpi, jpg/jpeg files only)*__________________________EMERGENCY CONTACT INFORMATION Emergency Contact Name*FirstLast Emergency Contact Relationship* Emergency Contact Phone* Emergency Contact Email*__________________________DRESS CODESunday, June 5: CasualMonday - Friday, June 6 - 10: Business ProfessionalSPECIAL NOTE: Please bring comfortable shoes because there will be a lot of walking. Dress Code*I understand and will comply with the dress code.__________________________REQUIRED AGREEMENTSHNBA/VIA IPLI2022 Individual Release Indiv Release*I confirm that I have read, understand, and agree to the above HNBA/VIA IPLI2022 Individual Release linked above.HNBA/VIA Code of Conduct Code of Conduct*I confirm that I have read, understand, and agree to the above HNBA/VIA Code of Conduct linked above.__________________________COVID-19 PARTICIPATION POLICYHNBA/VIA IPLI2022 COVID-19 Participation Policy COVID*I confirm that I have read, understand, and agree to the above HNBA/VIA IPLI2022 COVID-19 Participation Policy linked above.PROOF OF VACCINATION VaccineCard*I hereby agree to the HNBA/VIA’s COVID Vaccine Policy and will present my vaccine card OR a clear and legible photo of the vaccine card as proof that I have been fully vaccinated against COVID and received at least one booster shot. I understand that I will be unable to participate if I do not comply with this policy. Addition CaptchaSubmitReset
2022 IPLI Information Request Name* Position* Company* Phone* Email* Do you have any dietary restrictions or do you require any special accommodations? If so, please provide details.__________________________BIO AND PROFESSIONAL HEADSHOT(Your bio and headshot will be published in the IPLI2022 booklet. Please proofread before submitting this form.) Bio (max 500 characters)* Professional Headshot (min 300 dpi, jpg/jpeg files only)*__________________________REQUIRED AGREEMENTSHNBA/VIA IPLI2022 Individual Release Indiv Release*I confirm that I have read, understand, and agree to the above HNBA/VIA IPLI2022 Individual Release linked above.HNBA/VIA Code of Conduct Code of Conduct*I confirm that I have read, understand, and agree to the above HNBA/VIA Code of Conduct linked above.__________________________COVID-19 PARTICIPATION POLICYHNBA/VIA IPLI2022 COVID-19 Participation Policy COVID*I confirm that I have read, understand, and agree to the above HNBA/VIA IPLI2022 COVID-19 Participation Policy linked above.I will not be attending in-person.PROOF OF VACCINATION VaccineCard*I hereby agree to the HNBA/VIA’s COVID Vaccine Policy and will present my vaccine card OR a clear and legible photo of the vaccine card as proof that I have been fully vaccinated against COVID and received at least one booster shot. I understand that I will be unable to participate if I do not comply with this policy.I will not be attending in-person. Addition CaptchaSubmitReset
