If you are a member and would like to make a nomination, please fill out the form below or download the form in Word.

		indicates required field
Your Name
Your Email
Nominee's Name
Nominee's Firm
Nominee's City
Nominee's State		AL AK AZ AR AA AE AP CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY
Nominee's Province
Nominee's Country		Albania Algeria American Samoa Andorra Angola Anguilla Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Botswana Brazil British Virgin Is. Brunei Bulgaria Burkino Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Chad Chile China Colombia Congo Congo, The Republic of Cook Islands Costa Rica Cote D'Ivoire Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faeroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia, Republic of Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kuwait Kyrgyzstan Latvia Lebanon Lesotho Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Island Romania Russia Rwanda Saipan San Marino Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovak Republic Slovenia South Africa South Korea Spain Sri Lanka St. Kitts & Nevis St. Lucia St. Vincent Suriname Swaziland Sweden Switzerland Syria Taiwan Tanzania Thailand Togo Trinidad & Tobago Tunisia Turkey Turkmenistan, Republic of Turks & Caicos Is. U.A.E. U.S. Virgin Islands Uganda Ukraine United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis & Futuna Islands Yemen Zambia Zimbabwe
How many years have you known the nominee?
How many years has the nominee practiced law?
What other organizations does the nominee belong to (please indicate what leadership posts the person has held, if known)?
Do you believe the nominee will be an active member of the IADC?		YesNo
On what do you base your belief (have you participated in other organizations with this person, do they have a reputation for active civic and volunteer involvement, have you had cases with this person, etc.)?
In what kinds of activities (what special skills, interests, experience) do you believe the nominee would be most active?
What is your opinion of the nominee's professional reputation in the legal community (please indicate any significant honors, awards, or recognition the individual has received or significant trials the individual has had a lead role in)?
List IADC members who know the nominee:
If this nomination has been submitted on behalf of an IADC Committee please indicate here:
If this nomination is on behalf of an IADC Membership Committee Strategic Effort please indicate here:		Gender Ethnicity Under 45 Large Firm Trial Academy CCC International Other

Thank you for your nomination submission. The IADC will review it shortly.

You will be contacted if additional information is needed and you will be apprised of the nominee's status. This form will be e-mailed to the IADC office.

Outside counsel nominations require two (2) members to submit sponsor forms on behalf of the nomination. In-house counsel (Corporate Counsel), Insurance Executives and international (outside of the U.S.) nominations require one (1) member to submit a sponsor form on behalf of the nomination. Please have the appropriate number of members submit a sponsor form in support of this nomination.