California Lawyers Association

Bernard E. Witkin Medal Application

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Application Form

    Nominator Information

    Nominator Name (First, Last)

    Job Title

    Employer

    Email

    Phone

    Address (Street, City, State, Zip Code)

    Nominee Information

    Name of Nominee (First, Last)

    Job Title

    Employer

    Email

    Phone

    Address (Street, City, State, Zip Code)

    Why do you believe this person should be considered for this Award and what makes them special? (response in 500 words or less).

    The California Lawyers Association is committed to reflecting diversity, broadly defined, in all its activities. Please briefly (250 words or less) describe any characteristics, experiences or background, including traditional indicia of diversity, the nominee would represent.

    References

    Names and contact information of two references who also support the nomination, not including the nominator

    Reference One

    Nominator Name (First, Last)

    Job Title

    Employer

    Email

    Phone

    Address (Street, City, State, Zip Code)

    Reference Two

    Nominator Name (First, Last)

    Job Title

    Employer

    Email

    Phone

    Address (Street, City, State, Zip Code)

    Upload Supporting Document

    Upload any supporting document to this application (PDF only)


    Forgot Password

    Enter the email associated with you account. You will then receive a link in your inbox to reset your password.

    Personal Information

    Select Section(s)

    CLA Membership is $99 and includes one section. Additional sections are $99 each.

    Payment