Pro Bono Opportunities

A. Contact Information

Organization Name: *

Organization Address: *

Organization Address:

City

State/Province

Zip/Postal

Organization Address:

Organization Web Address: *

Contact Name: *

Contact Email: *

Phone Number: *

Fax Number:

B. Organization Information

1. In a few sentences state the overall mission of your organization. *

2. Please select the boxes (check as many as apply) to identify and briefly describe the population(s) for which your organization provides services, be sure to include information on characteristics such as age, disability or income, that might be used in establishing eligibility for your services. *

Children/Families

Disabled

HIV/AIDS

Seniors/Elderly

Low-income generally

Immigrants

Other

3. In a few sentences describe the types of (legal?) services provided by your organization. *

4. Service area: *

Statewide

County based (please list counties served)

Please identify the state of the service area. *

Please specify the county or counties where your services would be applicable *

C. Pro Bono Opportunities

5. Please use the boxes below, by checking the general topic area and any specific sub-specialties, to indicate the substantive areas in which you are seeking pro bono support. *

Civil Rights

Consumer

Employment/Unemployment

Family

Guardianship

Health

Housing/Landlord Tenant

Immigration

Senior/Elder law

Transactional

Wills

Other

You selected Consumer please select any sub specialties *

Bankruptcy

Credit/Debt counseling

Predatory Lending

You selected Family please select any sub specialties *

Custody

Child Support

Divorce

Domestic Violence

Termination of Parental Rights

Visitation

You selected Health please select any sub specialties *

SSI/SSD

Other

You selected Immigration please select any sub specialties *

Asylum

Naturalization

You selected Senior/Elder law please select any sub specialties *

Bankruptcy

Credit Counseling

Predatory Lending

You selected Transactional please select any sub specialties *

Non-profit corporate

Community Development

Tax

6. Does your organization provide substantive training to volunteer attorneys? *

Yes

In some cases

If yes, please describe: *

7. Please select any of the following support your organization provides. Next you’ll be ask to explain further. *

Litigation support

Fee waivers

Translators

None of the options presented

Other

You selected Litigation support please explain further *

You selected Fee waivers please explain further *

You selected Translators please explain further *

8. What, if any, supervision does your organization provide for volunteer attorneys? *

9. Does your organization provide malpractice coverage for volunteer attorneys? *

Yes

If yes, please describe: *

10. Does your organization require volunteer attorneys to carry malpractice insurance? *

Yes

If yes, please describe: *

11. Has the New Jersey Supreme Court approved your program for a Madden exemption? *

Yes

If you are human, leave this field blank.