The State Bar of California

T H E S T A T E B A R O F C A L I F O R N I A 2015 Loren Miller Legal Services Award NOMINATION FORM DEADLINE: MARCH 16, 2015 INSTRUCTIONS  Please refer to the Award Information and Guidelines before completing the nomination form. A nominee must be a California attorney. The Loren Miller Legal Services Award is considered a lifetime achievement award. Self- nominations are accepted. Previous nominations may be resubmitted with updated information. See below.  Previous award recipients include staff of legal services organizations such as directors of litigation and executive directors, and private bar attorneys.  Answer all questions thoroughly. To enter text, click the cursor on each shaded expandable box.  To move to the next question or text box, press “Tab.”  To check boxes, click on the box or tab to it and press “Enter.” To uncheck the box, click on the “X”.  Nominee’s current resume or biography with work history and at least one (1) but no more than five (5) letters in support of the nomination are required and must be submitted with the nomination form. The page limit on letters of support and supporting materials (not including resume) is 25 pages.  Address letters of support to the “Standing Committee on the Delivery of Legal Services.”  See Instructions for Electronic Submission below and in the Award Information and Guidelines.  If information is missing from the nomination form, the nomination may be disqualified. If information needs to be clarified, the nominator(s) and/or additional references may be contacted.

NOMINEE INFORMATION

Name of Attorney: State Bar of CA Member Number: Nominee’s title: Nominee’s Organization, Firm, Employer: Address: City: Zip Code: Nominee’s e-mail: Work Phone: Cell Phone: Fax: Has the nominee been nominated for this award previously? No Unknown Yes (see below for instructions to resubmit a nomination)

INSTRUCTIONS FOR RESUBMISSION

To resubmit a nomination already on file, please check the box below and provide the year the most recent nomination was submitted. Also, any updated information about the nominee’s achievements can be provided on page 2. A State Bar staff member will confirm the resubmission by e-mail. I would like to resubmit a nomination made in the year for the nominee named above.

2015 Loren Miller Legal Services Award Nomination Form Page 1 of 3 NOMINATOR INFORMATION Nominator: Title: Self-nomination Relationship to Nominee: Nominator’s affiliation or employer Address: City: State: Zip Code: Phone: Fax: E-mail: Joint nominator or representative: Title: Relationship to nominee: Joint nominator’s employer or affiliation: Address: City: State: Zip Code: Phone: Fax: E-mail: REFERENCES FAMILIAR WITH NOMINEE’S ACHIEVEMENTS Name: Title: Relationship to nominee: Additional reference’s employer or affiliation: Address: City: State: Zip Code: Phone: Fax: E-mail:

Name: Title: Relationship to nominee: Additional reference’s employer or affiliation: Address: City: State: Zip Code: Phone: Fax: E-mail: INFORMATION ABOUT NOMINEE’S ACHIEVEMENTS  Please answer all questions thoroughly in the expandable space provided below.  If nomination is a resubmission, please provide any updated information.  If information is missing from the nomination form, the nomination may be disqualified. If information needs to be clarified, the nominator(s) and/or additional references may be contacted. 1. Describe overall accomplishments of the nominee towards the development and delivery of legal services:

2. Describe successful precedent-setting litigation (including complete citations to reported cases) that benefitted the poor and scope of impact:

3. Describe successful local, state and/or national legislative advocacy (including citations to legislation) on behalf of under-represented persons and scope of impact:

4. Describe any community organizing that increased access to the legal system and scope of impact:

5. Explain the nominee’s demonstrated long-term commitment to providing legal services:

2015 Loren Miller Legal Services Award Nomination Form Page 2 of 3 6. Previous recognition and awards:

7. Additional noteworthy information about the nominee:

Required □ Attach a current resume or biography with work history, educational background and dates. □ Include at least one letter (but no more than five) in support of the nomination addressed to the “Standing Committee on the Delivery of Legal Services (SCDLS).”

INSTRUCTIONS FOR ELECTRONIC SUBMISSION  Save the completed nomination form on your desktop and include the nominee’s name in the file name.  The nomination form, current resume or biography with work history and dates are required and must be submitted electronically via e-mail as Word documents.  In addition, at least one (1) letter, but no more than five (5) letters, in support of the nomination that includes citations to reported cases and legislation, community organizing efforts, successful projects, newspaper or other articles, is required. The page limit on letters of support and additional supporting materials (not including resume) is 25 pages.  Letters of support and additional supporting material must be submitted with the nomination form and resume as individual PDF files. Articles can be submitted via live URL links. Video web links, CDs and DVDs will not be accepted.  Letters of support should be addressed to the “Standing Committee on the Delivery of Legal Services.”  All attachments must be itemized in the body of the e-mail message and the size of all attachments combined cannot exceed 10 MB.  E-mail all nomination materials to Kimberly Warmsley at [email protected] by 11:59 p.m. Pacific Time on Monday, March 16, 2015. Please include in the subject line “2015 Loren Miller Award” and the nominee’s name.  Do not include more than one nomination per e-mail.  If it is a hardship to submit a nomination electronically, contact Ms. Warmsley at the e-mail address above, or at 415-538-2176 about an alternative method for submission.  Nominators will receive an e-mail acknowledgment for each nomination within five business days of submission. If you do not receive an e-mail acknowledgment please contact Ms. Warmsley to confirm receipt of submission.

Please note that each nominee will receive an e-mail notification that she or he has been nominated for the Loren Miller Legal Services Award with copy to the nominator.

SELECTION PROCESS AND AWARD PRESENTATION

The State Bar Standing Committee on the Delivery of Legal Services (SCDLS) will review the nominations and submit its recommendations to the State Bar Board of Trustees in July for final approval. The decision regarding the award recipient will be based on the criteria listed in the Award Information and Guidelines and the strength of the supporting letters. The award will be presented on Friday, October 9, 2015 during the State Bar Annual Meeting in Anaheim.

2015 Loren Miller Legal Services Award Nomination Form Page 3 of 3