TBTN Legal Hotline Partner Application

Applicant Information

Name of Firm*

Name of Primary Contact*

First NameLast Name

Title of Primary Contact*

Email of Primary Contact*

example@example.com

Phone of Primary Contact *

Area CodePhone Number

Mailing Address of Firm*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Website of Firm*

Information about Firm

Year of firm's formation*

Number of Partners*

In what cities does your firm have its primary offices? (List up to 3) *

In what states is your firm licensed to practice? (If more than 20, write "20+") *

Is your firm able to partner with other attorneys to provide coverage for all 50 states?*

Yes, we do so regularlyYes, we are capableNo

Does anyone in your firm represent individuals accused of crimes?*

YesNo

Average number of sexual misconduct cases taken on per year*

Average number of sexual harassment cases taken on per year*

Average number of sexual abuse cases taken on per year*

Average number of other cases taken on per year (please describe)*

List all specialties in class of defendant in sexual misconduct cases (clergy misconduct, academic, ride-share, corporate, youth organizations, employer, etc.)

List all specialty practices (hazing, harassment, employment discrimination, child abuse, etc.)

TBTN Partnership

Are you willing to make adequate referrals to other firms and resources appropriate to the caller’s specific needs?*

YesNo

How do you think your firm could help TBTN maintain a national leadership position in sexual misconduct victim advocacy and litigation for our National Hotline? (List 3 reasons)*

How does your firm currently take a trauma-informed approach with survivors of sexual misconduct, harassment, or abuse? *

Is there anything else you'd like to share?

Please verify that you are human*