Application

The Maurice Klitzman Award was created to help young corporate patent practitioners continue their learning. The Award provides for a junior corporate attorney or corporate patent agent the opportunity to attend the AIPLA Annual Meeting (with most expenses paid), and the opportunity to be paired with a mentor during the meeting.

The deadline for application submissions is August 31, 2021

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* 1. Name

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* 2. AIPLA Member Number

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* 3. Email Address

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* 4. Phone Number

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* 5. Name of Employer

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* 6. Position/Title

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* 7. Years at the Company

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* 8. Does your employer support involvement in AIPLA?

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* 9. Would your employer support continued involvement

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* 10. Are you an attorney?

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* 11. Are you a patent agent?

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* 12. # of years as an IP Practitioner

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* 13. # of years in a corporate environment

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* 14. # of years as an AIPLA member

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* 15. Why did you join AIPLA?

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* 16. To what AIPLA Committees, if any, do you belong? Please list:

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* 17. Have you ever attended an AIPLA Meeting?

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* 18. If yes, which meetings have you attended?

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* 19. What do you hope to achieve/learn through attendance at the Annual Meeting?

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* 20. If you are selected for the Klitzman Award, you will be assigned a mentor.  The mentor will provide guidance on program and event selection at the meeting and introduce you to members of the AIPLA leadership.  Your mentor will assist in sustaining your future involvement in AIPLA.  Please indicate your are of interest so we can identify a compatible mentor.

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* 21. Nomination/Sponsorship recommendation.  1.  Please provide a recommendation from your employer, supervisor, or a co-worker if you have no appropriate immediate supervisor.  2.  Please provide a recommendation from an AIPLA member. Recommendations can be send directly to mdonohoe@aipla.org.

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