Nominee Information

Name of Nominee

Has this person been nominated previously? Yes No Don't Know

Title/Position

Firm/Organization

Age

Race/Ethnicity

Address

Address

City

State

Zip

Day Phone

Evening Phone

Fax

Email

All of the above are required fields except Evening Phone and Fax.

Categories

Please indicate one category that most closely describes nominee's present position or activity.

Nominator Information

Name of Nominator

Title/Position

Firm/Organization

Address

Address

City

State

Zip

Day Phone

Evening Phone

Fax

Email

Additional Information

1. Required Information - Additional required information for the nomination packet, such as the nominee’s resume and letters of recommendation, is specified on www.abanet.org/women/margaretbrent/nominationinformation.html.

2. Deadline for Nomination - The deadline to submit award criteria and supporting materials is the close of business on Tuesday, November 24, 2009.

3. Submission of Materials - All materials must be submitted via e-mail and sent to brentaward@abanet.org. Include the nominator and nominee's names in the subject line.