Pro Bono or Low Bono Attorney Application

Name

First

Last

Phone Number

Email

Address

Address Line 2

City

State

Zipcode

Date of Birth

How do you prefer to be contacted

Phone

Email

I am currently:

An attorney with an active law license

An attorney with an inactive law license

Other

If other, please describe

Employment Status:

I am employed full-time as an attorney

I am employed part-time as an attorney

I am a retired attorney

Other

If other, please describe

Please indicate the areas of law in which you have experience.

Choose all that are applicable

If other, please describe

In which state are you licensed to practice law?

What is your state bar number (if any)?

Are you registered with EOIR?

Yes

No

Do you speak any languages besides English?

If other, please describe

Please indicate which types of volunteer opportunities are of primary interest to you. (Choose all that are applicable.)

Represent a survivor pro bono in immigration court proceedings

Represent a survivor pro bono in a complex immigration application (e.g. T Nonimmigrant Status, Asylum, etc.)

Represent a survivor pro bono in a simple immigration application (e.g. Deferred Action for Labor Enforcement, etc.)

Provide low bono representation in a non-immigration matter (e.g. landlord/tenant, family law, criminal defense, crime victim representation, consumer protection, bankruptcy, labor and employment, personal injury, etc.)

Provide pro bono representation in a non-immigration matter (e.g. landlord/tenant, family law, criminal defense, crime victim representation, consumer protection, bankruptcy, labor and employment, personal injury, etc.)

Notes (any particular cases that you’re interested in; previous immigration experience, etc.):

A resume may be requested for certain positions. Are you willing to submit a resume if requested?

Yes

No

A background check may be required for certain positions. Are you willing to complete a background check?

Yes

No

Pro Bono or Low Bono Attorney Application

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