Self-Nomination Form

Join the 2021 Fellows Class - Self-Nominate Now!

To self-nominate to be an OSBF Fellow, please complete the form below. All forms are due January 15 and are reviewed by the OSBF Membership Committee before being sent to the Board of Trustees for final approval.

Please be thoughtful in completing the nomination form. All information will be used when reviewing nominees.

Your Information

First Name*

Middle Initial

Last Name*

Home Address*

City*

State*

Zip*

Business Address*

City*

State*

Zip*

Email*

Business Phone*

Cell Phone*

May we text you with updates and notifications? Yes
No

Firm or Organization Name*

Professional Title*

Year admitted to practice in Ohio*

Are you an Ohio State Bar member?*

Supreme Court Number*
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To become a Fellow, you must be an OSBA member. To become an OSBA member, CLICK HERE

Please list your professional/bar service.*

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." *

Why do you want to be an OSBF Fellow?*

Give the names and contact information for two references.

Reference Name*

Reference Email*

Reference Phone*

Reference Name*

Reference Email*

Reference Phone*

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.*

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Certification

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*

Your Last Name*

*Denotes required response

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Self-Nomination Form

Join the 2021 Fellows Class - Self-Nominate Now!