CVLAS Non-Lawyer Volunteer Application

Non-Lawyer Volunteer Application

Central Virginia Legal Aid Society

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Name *

First Name Last Name
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Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

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Phone numbers *

Home Work Cell Other
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Home Phone Number
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Work Phone Number
Please enter a valid phone number. Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.
Cell Phone Number
Please enter a valid phone number. Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.
Email *
example@example.com Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.
Drivers License #: *
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Are you a U.S. Citizen? *

Yes No
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Emergency Contact Name *

First Name Last Name
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Emergency Contact Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

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Emergency Contact Phone Number *
Please enter a valid phone number. Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.
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Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.

Why are you interested in volunteering at CVLAS? *
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Describe any previous or current volunteer experience: *
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Describe your formal education, training, and special skills: *
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Please list two (2) personal references we may contact:

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Reference 1: Name *

First Name Last Name
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Reference 1: Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.
Reference 1: Phone Number
Please enter a valid phone number. Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.
Reference 2: Name *

First Name Last Name
Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.
Reference 2: Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.
Reference 2: Phone Number
Please enter a valid phone number. Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.
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Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.

I can volunteer a total of [number of hours]* hours per week with CVLAS.

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I can volunteer on the following day(s) and time(s):(the office is closed on Saturday and Sunday) *

Mondays Tuesdays Wednesdays Thursdays Fridays
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Mondays

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
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Tuesdays

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
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Wednesdays

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
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Thursdays

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
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Fridays

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
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Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.
Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.

Please read and sign the confidentiality statement. By signing this statement you agree to the following terms and conditions:

I hereby agree to keep all matters pertaining to clients or potential clients confidential. I will not reveal the names of clients or potential clients. nor will I discuss his or her case with anyone other than CVLAS employees.

I also certify that the information I have provided you is true to the best of my knowledge.

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Today's Date

Month Day Year
Date
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Signature *

Clear

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Should be Empty: