Attorney/Law Student Sign Up

Personal Information

FIrst Name *

Last Name *

Email *

Cell *

May we send you text messages? *

Yes
No

Name to be printed on badge *

Shirt Size *

Which volunteer shift can you work? *

10am - 4pm
10am - 1pm
1pm - 4pm

Specify what languages you speak other than English

Other Languages Spoken

Background Check Acknowledgment *

Yes, I acknowledge that a screening or background check will be initiated upon completion of this Volunteer Sign-up form.

If you have any concerns, please email us at americorps@pjihelps.org.

Date of Birth *

Required for background check

Code of Conduct *

I have read and agree to the Volunteer Code of Conduct

Volunteer Agreement *

I have read and agree to the Volunteer Agreement

Conflict of Interest *

I have read and agree to the Conflict of Interest

Media Release Agreement *

I have read and agree to the Media Release Agreement
I have read and do not agree to the Media Release Agreement

Attorney/Law Student *

I am an Attorney
I am a Law Student

Attorney Provider Information

Law Student Infomation

Are you volunteering on behalf of an organization, firm, private practice or legal aid organization? *

Yes
No

Name of Organization, Firm, or Private Practice *

Address of Organization, Firm, or Private Practice *

Address Line 1

Address Line 2

City

State

Zip Code

Practice Phone Numer *

Cell Phone

Name of Law School *

Are you a member of a legal association/group. *

Yes
No

If yes, what association?

Are you currently licensed to practice in the state of New Jersey? *

Yes
No

Year Licensed *

License Number *

License Status

Retired
Other

What areas of law do you currently practice or have most experience practicing? *

Link to bio or short description of experience. (optional)

My preference for consults is: *

In-Person
Virtual (video)
Virtual (phone)

Are you available for additional Pro Bono consultations by appointment *

Yes
No

Do you have Zoom or Microsoft Teams that will enable you to appear by video? *

Yes
No

If there are documents which need to be reviewed during the meeting, are you able to access email during the meeting? *

Yes
No

Personal Information

Attorney Provider Information

Law Student Infomation

Event Details