Excellence in Diversity Award Nomination Form

 

2015 ARIZONA BLACK BAR

EXCELLENCE IN DIVERSITY AWARDS

NOMINATION FORM

 

The Arizona Black Bar (ABB) has created the ABB Excellence in Diversity Awards to recognize attorneys, law firms, corporations, academic institutions and other agencies that have gone above and beyond the call of duty to promote, implement, and advance diversity and inclusion in the Arizona legal profession! The awards will be presented during the 2015 Hayzel B. Daniels Scholarship Dinner on October 22, 2015 at the Phoenix Art Museum, 1625 N. Central, Phoenix, Arizona 85004.


How to nominate: Send your completed Nomination Form to:

 

David J. Allen II Esq.
The Allen Law Office, PLLC
5320 North 16th Street, Suite 201
Phoenix, Arizona 85016

Nominations forms may also be faxed to Mr. Allen at (602) 483-1628.

 

 

Nominations Application Deadline:

The deadline for submission of nominations is September 15, 2015.

 

Nominee details:

 

First name: 

 

 

Surname:
Nominee’s postal address: 

(include zip code)

 

 

Nominee’s phone number: 

 

 

 

 

When making your nomination, please provide short statements describing how the nominee meets the award criteria. Where possible, provide examples to support the statements. (Please limit response to 250 words or less)

Please select the award category for which you are nominating. Also, please describe below why the Nominee should be selected.

______ Law Firm/Corporate/Public Agency Diversity Award

______ ABB Individual Diversity Award

______ ABB Rising Star Award

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Nominated by:

Name: 

 

Organization: 

 

Address: 

(include zip code)

 

Telephone/Mobile: 

 

Email: 

 

Relationship to nominee: 

 

Signature 

 

Date: