
Pro Bono Project
Attorney Registration Form
Date:
Name:
Firm:
Mailing Address:
Phone:
Email:
1. Briefly describe the size of your firm and the areas of law covered.
2. Are you volunteering as an individual or might your firm take on a nonprofit organization as a pro bono client?
3. If you are not with a firm, can you provide your own meeting space and support services?
4. Is there a coordinator for pro bono work at your firm? If so, please provide his/her name and contact information.
5. Have you ever served on a board or been legal counsel to a nonprofit organization? If yes, please explain.
6. Please list the counties in which you are willing to volunteer.
7. Please list any languages you speak in addition to English.
8. Please note to what extent you are willing to participate.
a. I am interested in participating by:
¨ working with a client with a limited need of one or two cases.
¨ entering into an ongoing commitment to a community-based organization.
¨ creating a long-term commitment with an unorganized group to pull it together, incorporate it, and participate in strategy sessions once the corporation is in place
b. I am interested in working with legal issues in the following categories:
¨ Corporate
¨ Environmental
¨ Intellectual Property
¨ Labor and Employment
¨ Liquor Board hearings
¨ Nuisance
¨ Real Estate
¨ Tax
¨ Zoning
¨ Other:
9. How did you hear about the Community Law Center?
10. Please provide the name and contact information of any attorneys you think may be interested in working with the Pro Bono Project.
I understand that I am responsible for entering into a client agreement with each client that I agree to represent through the Community Law Center's Pro Bono Project. _____ (Initial)
I hereby certify that I am not currently subject to disciplinary proceedings under the Maryland Rules of Procedure and that I am admitted to practice before the Maryland Court of Appeals. I will notify the Bar Association of Baltimore City and The Community Law Center, Inc. if I am suspended or disbarred from the practice of law in Maryland.
Date:_________________ Signed:_________________________________________
Please return completed form to: Community Law Center Phone: 410.366.0922 x15
3355 Keswick Road, Suite 200 Fax: 410.366.7763
Baltimore, MD 21211 danielled@communitylaw.org