LEGAL SECRETARIES, INCORPORATED GOLDA J. COOPER CHAPTER ACHIEVEMENT CONTEST OFFICIAL ENTRY FORM

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LEGAL SECRETARIES, INCORPORATED GOLDA J. COOPER CHAPTER ACHIEVEMENT CONTEST 2011-2012 OFFICIAL ENTRY FORM NAME OF ASSOCIATION: NAME AND ADDRESS OF GOVERNOR: TELEPHONE NUMBERS: WORK ( ) HOME ( ) NUMBER OF MEMBERS WHO HAVE PAID LSI PER CAPITA TAX AS OF: APRIL 1, 2011 MARCH 31, 2012 CHECK APPLICABLE CATEGORY (MEMBERSHIP AS OF 3/31/2012). INCLUDE ONLY THOSE MEMBERS FOR WHOM PER CAPITA TAX WAS PAID: GROUP A MEMBERSHIP FROM 5 TO 30 GROUP B MEMBERSHIP FROM 31 TO 50 GROUP C MEMBERSHIP FROM 51 TO 75 GROUP D MEMBERSHIP FROM 76 TO 95 GROUP E MEMBERSHIP OVER 95 BURDGECOOPER (FORMERLY STUART F. COOPER CO) WILL PRESENT FIVE AWARDS OF $250 EACH TO THE HIGHEST SCORING ASSOCIATION IN EACH OF THE ABOVE CATEGORIES AT THE ANNUAL CONFERENCE OF LEGAL SECRETARIES, INCORPORATED IN MAY 2012.

2011-2012 Official Entry Form Page 2 INSTRUCTIONS: Association shall enter applicable number of points and compute the score on 2011-2012 entry form. Report shall cover activities from April 1, 2011 through March 31, 2012. Unless entry form indicates that the number of points is applicable to each occurrence and/or each number, use only the specified points even if a particular act or function was performed on more than one occasion by more than one member. Entry form must be signed by the Governor and certified by the President and Recording Secretary and the original executed certification form attached to the entry form sent to the LSI Vice President. Each of said officers must verify all information and computations before signing the entry form. Completed 2011-2012 entry form (and certification) is to be forwarded to: Sandra T. Jimenez, CCLS LSI Vice President Post Office Box 58 Seeley, CA 92273-0058 and must be postmarked no later than April 30, 2012. NOTE: If postmark is later than meter mail date, postmark date will apply. If postmark is after April 30, 2012, entry will be disqualified. All entries must be submitted on this 2011-2012 official entry form.

2011-2012 Official Entry Form Page 3 ADVERTISING Member submitting potential advertiser to the Editor of The Legal Secretary (per member, per advertiser) x 25 ARTICLES Articles printed in The Legal Secretary by a guest writer. (per article) x 100 Articles printed in The Legal Secretary by Governor. (per article) x 50 Article submitted to The Legal Secretary by local association (do not take points under #3 if points were taken under #1 or #2 for the same article) x 50 ATTENDANCE AT LSI MEETINGS LSI Quarterly Conferences Governor or Governor Pro Tem Per quarter (maximum 4 quarters) x 50 Non-Governor. Per member (excluding LSI officers and chairmen who are official called) x 50 First time attendee, per member x 50 LSI Annual Conference Each voting delegate or voting alternate (maximum 3) x 100 Each non-voting delegate (including non-voting alternate, excluding LSI officers and chairmen) x 25 Each member attending Officer/Chairman Workshop (excluding LSI officers and chairmen) x 25 SUBTOTAL PAGE 3

Page 4 Each member attending Presidents Roundtable (excluding LSI officers and chairmen) x 25 First time attendee, per member x 50 BENEFITS Members belonging to LSI sponsored credit union x 100 Members insured through LSI Plan (per member, not per policy) x 100 Members using LSI Hertz discount (per member, per rental) x 200 Member enrolled through LSI approved retirement planning program x 100 BULLETIN Per issue (maximum 12 issues) x 25 Each issue containing education articles, legal procedure articles or CCLS Quiz (quiz must contain a minimum of ten questions) x 25 Each issue containing article on law office products and management x 50 Entered in LSI Bulletin Contest (May 2011) 100 First place winner in one of LSI Bulletin Contest categories (May 2011) 150 WEBSITE Local association maintains a website 100 Local association website is linked to 50 LSI website, www.lsi.org SUBTOTAL PAGE 4

Page 5 Local association website is hosted by 50 and/or maintained by LSI webmaster CALIFORNIA CERTIFIED LEGAL SECRETARY Sponsor a CCLS study group (minimum 8 week course) x 200 Conduct a CCLS Mock Exam x 150 Members participating in a CCLS study group (whether sponsored by your association or another local association) (per member) x 25 CCLS mini mock exam given at local association meeting (exam must contain a minimum of ten questions) (per meeting) x 75 Members taking CCLS examination (per member) x 100 Members who passed CCLS examination during 2011-2012 fiscal year (per member) x 200 Members submitting questions to Continuing Education Council for use on CCLS Mock Exam (per question) x 25 Members recertifying during the 2011-2012 fiscal year (per member) x 50 CAREER PROMOTION Presentation(s) on legal secretarial career at local educational institutions (per presentation) x 100 SUBTOTAL PAGE 5

Page 6 COMMUNITY/CHARITABLE PROJECTS Association assists or cooperates with any community project (i.e., volunteering hours at Legal Aid or helping charitable organizations within the community) or conducts its own community project (i.e., collecting and donating clothing to shelter for battered women or collecting and distributing toys at Christmas to under-privileged family) (each project) x 100 Association makes monetary contribution to a non-profit charitable organization (maximum of two contributions) (per contribution) x 50 DAY IN COURT Hold Day in Court function (per function) x 250 Association videotapes Day in Court event and sends copy of videotape to LSI Professional Liaison/Day in Court Chairman (per function) x 50 EMPLOYMENT Employment Chairman has informed local bar association of employment services and acts as liaison between secretaries and bar association regarding availability of secretaries and employment opportunities in law-related offices 100 HISTORY BOOK Prepare a history book for 2011-2012 150 Entered history book in LSI Contest (May 2011) 100 SUBTOTAL PAGE 6

Page 7 Prepare a scrapbook for 2011-2012. (Do not take points for #3 if you took points under #1) 150 Entered scrapbook in LSI contest (May 2011). (Do not take points for #4 if you took points under #2) 100 First place winner in one of LSI History Book Contest categories (May 2011) 150 First place winner in LSI Scrapbook Contest (May 2011) 150 HOSTING LSI CONFERENCES (Do not take credit for both bidding and hosting with reference to same event) Bid to host LSI Quarterly Conference (LSI received bid by February 2012 (Conference) 200 Hosted an LSI Quarterly Conference held during fiscal year 2011-2012 400 Co-hosted or in charge of major portion of an LSI Quarterly Conference held during fiscal year 2011-2012 200 Bid to host an LSI Annual Conference. (Includes Pre-Annual and Post-Annual Conference) (LSI received bid by February 2012 Conference) 300 Hosted the 2011 LSI Annual Conference. (Includes Pre-Annual and Post Annual Conference) 500 Co-hosted or in charge of major portion of 2011 LSI Annual Conference 250 SUBTOTAL PAGE 7

Page 8 INTERCLUB (Excluding seminars, workshops, ways and means projects, days in court, or other functions for which credit is taken under other categories.) Association(s) host(s) an interclub function. (Per function) x 100 Attend another association s monthly meeting, installation, or other function. (Per member, each event) (excluding members of LSI Executive Committee and any interclub event your association hosted) x 50 LAW OFFICE MANAGEMENT Local meeting devoted to the discussion of new products and management problems (per meeting) x 50 Hold seminar or workshop on the subject of law office administration (per event) x 50 LEGAL SECRETARIAL EDUCATION Conduct Legal Secretarial Training Course sponsored by your association using the Law Office Procedures Manual or LSI Legal Professional s Handbook or Legal Secretary s Reference Guide. (16 hours or more in duration) (per course) x 500 Conduct a training seminar or workshop (not CCLS) sponsored by your association using the Law Office Procedures Manual or LSI Legal Professional s Handbook or Legal Secretary s Reference Guide. (3 hours or more in duration) (per seminar) x 200 Conduct an educational seminar or workshop sponsored by your association. (less than 3 hours) (per seminar) x 100 SUBTOTAL PAGE 8

Page 9 Members teaching a seminar or workshop for and under direction of local association (per seminar) x 75 Members attending a seminar or workshop sponsored by own association (per member) (per event) x 25 Members attending a seminar or workshop sponsored by another local association (per member) (per event) x 25 Members attending a seminar or workshop sponsored by a Forum, CEB or The Rutter Group (per member) (per event) x 25 Short session on legal procedure at meetings (not principal program) (per meeting) x 25 Prepare and distribute material of legal education or changes in the law at local membership meetings other than in bulletin (not including material used in training course, seminar, or part of educational program) (per meeting) x 100 LEGAL SECRETARY OF THE YEAR Select a local Legal Secretary of the Year x 50 LEGAL SPECIALIZATION SECTIONS Number of members enrolled in at least one Legal Specialization Section as of March 31, 2012 (per person) x 50 Number of members enrolled in all six Legal Specialization Sections as of March 31, 2012 (per person) x 100 Members attending Legal Specialization Section meeting at LSI Quarterly Conference or Annual Conference. (per member) (per meeting) x 50 SUBTOTAL PAGE 9

Page 10 Members attending Legal Specialization Section Regional Seminar (per member) x 75 Member submits article for use in Legal Specialization Section Newsletter x 50 LSI OFFICERS (Do not give credit for same member being nominated and elected with respect to same election) Member elected to LSI office (2011-2012 fiscal year) (each member) x 100 Member nominated for LSI office (2011-2012 fiscal year) (each member) x 75 MARKETING Press Release prepared and submitted to news media. (identical release sent to more than one newspaper, radio station or TV station is counted as one release) (per article) x 25 Hold one meeting or special function primarily for discussing the benefits of belonging to LSI. The following handout materials must have been distributed to those in attendance: (I) CCLS, (ii) Legal Specialization Sections, and (iii) LSI membership brochures. (can take points in addition to those in membership category below only if all information was distributed.) x 200 Have a marketing table which contains membership information for both local association and LSI at monthly meeting or special event (per meeting, per event) x 50 SUBTOTAL PAGE 10

Page 11 MEMBERSHIP Number of new members (for whom per capita tax has been paid to LSI) obtained between May 1, 2011 and March 31, 2012. (per new member) x 50 Number of continuing members retained between May 1, 2011 and March 31, 2012. (per member retained) x 100 BONUS points for association that starts year in one category and moves up to next higher category before end of contest, or gains 25 members or more during the 2011-2012 fiscal year. 1000 Member-at-large transfers membership to local association. (Either mid-year, or renews) (Per member) x 100 Hold at least one function for the specific and primary purpose of obtaining new members (per function) x 200 Formal presentation on benefits of membership to law offices (per presentation) x 50 SUBTOTAL PAGE 11

Page 12 PROFESSIONAL LIAISON Association assists or cooperates with local bar association in bar-sponsored or cooperative project or function. (do not take points under #1 if you took points under charitable or community project portion above) (per project or function) x 75 Association assists or cooperates with CEB or The Rutter Group in registration, presentation or other cooperation of seminar or function. (per seminar, per function) x 50 Hold function for the specific and primary purpose of honoring bosses, member of local bar association (per function) x 50 Choose Boss of the Year x50 Offer assistance of association to local bar association x 125 Association or member has article printed in local bar association bulletin (per article) x 50 Chairman writes congratulatory letters to new bar association officers Formal presentation on benefits of membership to local bar association x25 x100 Attend local bar association meetings. (Per member/per meeting) x 50 SUBTOTAL PAGE 12

Page 13 PUBLICATIONS Member purchasing LSI Legal Professional s Handbook between April 1, 2011 and March 31, 2012 (per member) x 200 Member purchasing updates to the LSI Legal Professional s Handbook between April 1, 2011 and March 31, 2012 (per member) x 100 Member purchasing the Law Office Procedures Manual between April 1, 2011 and March 31, 2012 (per member) x 200 Member purchasing updates to the Law Office Procedures Manual between April 1, 2011 and March 31, 2012 (per member, per update) x 100 REPORTING Officers and chairmen reporting to LSI counterparts (per report, each quarter) x 20 Governor provides written Governor s Report to local association members (maximum of four reports) x 50 SCHOLARSHIP Award one or more local scholarships 150 Submit candidate for LSI scholarship (2011-2012 fiscal year) (per candidate) x 50 First place winner(s) of LSI scholarship(s) (2011 Annual Conference) x 150 Alternate winner(s) of LSI scholarship(s) (2011 Annual Conference) x 50 SUBTOTAL FOR PAGE 13

Page 14 WAYS AND MEANS For each net dollar earned from projects (other than Annual Conference or Quarterly Conferences) during period covered by entry form. Select points from table below. Choose only one category. (Note: Projects can include fund raising activities held in conjunction with hosting an Annual Conference or Quarterly Conference) $ 500 to $1,000 1000 $1,001 to $5,000 2000 $5,001 to $10,000 3000 Over $10,000 4000 SUBTOTAL PAGE 14

Page 15 PLEASE ATTACH ADDING MACHINE TAPE SUBTOTAL OF PAGES 3 THROUGH 13 PAGE THREE PAGE FOUR PAGE FIVE PAGE SIX PAGE SEVEN PAGE EIGHT PAGE NINE PAGE TEN PAGE ELEVEN PAGE TWELVE PAGE THIRTEEN PAGE FOURTEEN SUBTOTAL OF PAGES 3 THROUGH 14: BONUS Chapter Achievement Contest Entry Form bearing postmark at least ten (10) days prior to deadline, or April 20, 2012 200 TOTAL (Do not forget to attach adding machine tape) Signature of Governor (Please type or print name)

Page 16 ORIGINAL CERTIFICATION MUST BE COMPLETED AND RETURNED WITH THIS ENTRY FORM CERTIFICATION We, (Please print your name) (Please print your name) (Please print DO NOT abbreviate), President, and, Recording Secretary of Legal Secretaries/Legal Professionals Association, jointly and severally certify that we have checked the foregoing entry form and that to the best of our knowledge and belief, all answers and computations shown thereon are true and correct. DATED: (Signature of President) (Type or print name of President) (Signature of Recording Secretary) (Type or print name of Recording Secretary) THE ORIGINAL OF THIS FORM MUST BE EXECUTED AND RETURNED TO THE LSI VICE PRESIDENT, ALONG WITH THE COMPLETED ENTRY FORM.