Online Submission Form-2017 HNBA Annual Convention

Your Name:*

First

Last

E-mail:*

Is the proposed panelist’s organization an HNBA convention sponsor?*

YES

Proposed Track

*Please note, while no track is dedicated solely to litigation, we welcome and encourage proposals with a litigation focus which also touch on one of the tracks listed below.

*More than one can be selected. *

Legal Technology

Business Development/Law Practice Management/Ethics

Small Business/Small Firm

Public Policy/Government/Public Interest

In House Counsel/Corporate

CLE Information

Target Audience for CLE Panel*

Proposed Title (One Sentence)*

Panel Description (3-5 Sentences)*

Panel

Proposed Moderator

Name:*

First

Last

Title:*

Organization:*

Address:*

City State / Province / Region

Phone:*

Area Code

Phone Number

Email:*

Alternate Moderator:

First

Last

Alternate Moderator Title:

Alternate Moderator Organization:

Note: Please do not invite any panelists to participate on the panel. Rather, we ask you simply confirm their interest in participating. The National Convention Leadership Team must approve all participants before they are invited to join the panel.

*When proposing panelists you should consider several factors depending on the topics:

Diversity of HNBA Regions Law Firm Practice
Geographical (State) Corporate Counsel
Gender Public Interest
Experience Level Senior Government Officials

Name: (1)*

First

Last

Title: (1)*

Organization:(1)*

Address:(1)*

City State / Province / Region

Phone:(1)*

Area Code

Phone Number

Email:(1)*

Name: (2)*

First

Last

Title: (2)*

Organization:(2)*

Address:(2)*

City State / Province / Region

Phone:(2)*

Area Code

Phone Number

Email:(2)*

Name: (3)*

First

Last

Title: (3)*

Organization:(3)*

Address: (3)*

City State / Province / Region

Phone: (3)*

Area Code

Phone Number

Email: (3)*

Name: (4)

First

Last

Title: (4)

Organization:(4)

Address: (4)

City State / Province / Region

Phone: (4)

Area Code

Phone Number

Email: (4)

Name: (5)

First

Last

Title: (5)

Organization:(5)

Address: (5)

City State / Province / Region

Phone: (5)

Area Code

Phone Number

Email: (5)

Additional Comments:

Send a copy of this proposal to yourself