Application

2021 Corporate Counsel Award Application

The Daily Record’s Corporate Counsel event honors members of the legal community with three distinguished awards: Corporate Counsel Award, Rising Star Award, and Lifetime Achievement Award.

Please provide as much information as possible so that our judges will be able to make the most informed decisions possible, based on your accomplishments.

Applications are due March 19, 2021.

Send letters of recommendation to Jessica Sims at jsims@bridgetowermedia.com

Information provided on this form may be used by The Daily Record in the corresponding event publication.

Name*
First Last
Phonetic spelling of your name (for announcing on stage during awards ceremony)*
Name as you would like it to appear in print (for awards publication)*
Position Title*
Company Name*
Address*
Street Address Address Line 2 City State ZIP Code
County of Primary Work Address*
Phone*
Preferred Email Address*
Enter Email Confirm Email
Facebook Profile URL (e.g. http://www.facebook/johndoe)
LinkedIn Profile URL (e.g. http://www.linkedin.com/profileview?id=1234567)
Twitter Handle (e.g. @johndoe)
Education (List most recent first)*
Career History (List the most recent/current position first)*
What do you consider your most significant professional accomplishment?*
How have your achievements positively affected your profession, your community, or society at large?*
Please tell us about your level of commitment to community service and give specific examples of how you give back.*
Please list any nonprofit or for-profit boards you sit on and include any positions you hold and your years of service.
What awards/honors have you been most proud to receive? Please include the date you received the award and from whom.*
Please list any business or trade organizations you are a part of and include any positions you hold and your years of involvement.*
Where do you see yourself in 20 years, and what are your plans for getting there?*
Notify me by email with special offers and events, including information about this event.
- Yes

Application

2021 Corporate Counsel Award Application

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