Fellow Application

Applicant Information

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Nominator

If self-nominated, just enter "Self".

Please enter a valid name.

First Name

Please enter a valid first name.

Middle Initial

Last Name

Please enter a valid last name.

Preferred Name

Please enter a valid name.

Year Admitted To Practice In Ohio

Please enter a valid response.

must be admitted at least 3 years

Select County for District Number

Please select a county.

Supreme Court Number

Find Number

Please enter a valid response.

Home Information

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Home Address

Please enter a valid address.

City

Please enter a valid city.

State

Please enter a valid state.

Zip

Please enter a valid zip.

Email Address

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Phone Number

Please enter a valid phone number.

May we text you with updates and notifications?

Yes

Professional Information

*Denotes required response

Firm or Organization Name

Please enter a valid firm or organization name.

Professional Title

Please enter a valid professional title.

Professional Address

Please enter a valid address.

City

Please enter a valid city.

State

Please enter a valid state.

Zip

Please enter a valid zip.

Email Address

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Cell Phone Number

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Preferred Address

Professional

Home

Preferred Email

Professional

Home

Please list your professional/bar service.

Please enter a valid response.

Please list your community service and volunteer activities.

E.g., participation in: non-profit organizations, parent/teacher organizations, faith-based organizations or activities, civic organizations or activities. Should include any regularly scheduled or significant service, and identify any leadership role(s) held. If attaching a document identifying your service, please write "see attachment."

Please enter a valid response.

Why do you want to be an OSBF Fellow?

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Attachments

Please submit your CV/resume that includes your professional and community service. You may also include any additional information (news articles, profiles, etc.) that you would like the OSBF to consider.

Upload a File (.pdf, .doc, .docx, .mp4)

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Certification

*Denotes required response

By clicking this box, I certify that I am in good standing with the Supreme Court of Ohio, any other state in which I practice, and I have no current or pending disciplinary actions.

Your First Name

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Your Last Name

Please enter a valid last name.

Firm/Organization Name

Please enter a valid firm or organization name.

Title

Please enter a valid title.

Your Email Address

Please enter a valid email address.

Your Phone Number

Please enter a valid phone number.