| Name: |
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| Gender: |
| Male |
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| Female |
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| Firm/Company: |
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| Home Address |
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| Work Address |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| Phone: |
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| Fax: |
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| E-mail: |
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| Paralegal |
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| Attorney |
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| Year first admitted to any bar: |
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| Year admitted to Connecticut: |
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| Primary areas of law practiced: |
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| Geographic districts in which you are willing to go
to court: |
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| Other languages spoken: |
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I am ready to accept a pro bono case in:
(Please Check all areas that apply)
With mentoring and free training I would accept a pro bono case in:
(Please Check all areas that apply)
While the need for pro bono services is great in all areas of law, the areas of major concern for the majority of disadvantaged clients are family, housing, social security and consumer law. Please consider including one or more of these in your choices.
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Accept |
With mentoring & training |
| AIDS |
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| bankruptcy |
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| consumer law |
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| elderly law |
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employment & collection |
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| employment discrimination |
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| estates & probate |
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| family law |
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| foreclosures |
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| government benefits |
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| housing |
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| fair housing and predatory lending |
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| immigration |
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| insurance law |
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| non-profit organizations |
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| school expulsion |
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| social security |
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| special education |
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| tax law |
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| unemployment compensation |
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| veterans' affairs |
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| workers compensation |
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I am willing to offer my expertise by: |
| Mentoring a pro bono attorney in: |
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| Volunteering at a Family Law “advice only” Clinic |
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| Volunteering at a Security Deposit Clinic |
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| Volunteering at a Day Laborer Wage Clinic (Stamford) |
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| Volunteering at a Volunteer Income Tax Assistance (VITA) program |
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| Volunteering at a Low Income Taxpayer Clinic (UCONN and Quinnipiac) |
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| Volunteering at the Evening Consumer Hotline (Middletown) |
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| Volunteering with the Truancy Intervention Project (New Britain) |
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| Volunteering at a Utility Day Program (for paralegals) |
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| I already provide pro bono services through the
following agency and will continue to do so as part of the Connecticut
Pro Bono Network. I understand that registering for this program is not
an additional commitment and will allow me to take advantage of the many
services outlined in the brochure |
| Statewide Legal Services |
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| CT Legal Services |
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| Greater Hartford Legal Assistance |
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| New Haven Legal Assistance Association |
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| AIDS Legal Network |
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| Lawyers for Children America |
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| CT Lawyers' Legal Aid to the Elderly |
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| CT Fair Housing Center |
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| International Institute of CT |
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| Pro Bono Partnership |
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| Nonprofit Pro Bono Initiative |
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| Lawyers Without Borders |
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| Probate or Bankruptcy Court |
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| Superior Court |
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| District Court |
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| VITA tax program |
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| LITC tax program |
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| Truancy Intervention Project |
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