CLE Proposal SAMPLE

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*

Street 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.*

Litigation

The Art of Successful Lawyering

Law Firm Practice

Hot Button Issues for 2020 and Beyond

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

Panel Description (Maximum 2-4 Sentences)*

Proposed Panelist Name: (1)*

First

Last

Title (include whether a Partner): (1)*

Organization/Firm Name: (1)*

Address: (1)*

Street Address 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)*

Street Address 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)

Street Address 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)

Street Address 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.

CLE Proposal SAMPLE

Quick Links

Hispanic National Bar Association

www.hnba.com | 202.223.4777