Mommy's Heart, Inc.
930 Fifth Avenue, Suite 4H
New York, NY 10021
VOLUNTEER ATTORNEYS
NAME (LAST, FIRST, M.I.)
*
DATE OF BIRTH
*
-
Month
-
Day
Year
Date
GENDER
*
Male
Female
Prefer not to say
Other
ADDRESS (STREET, APT/STE, CITY, STATE, ZIP)
*
EMAIL
*
example@example.com
MOBILE NUMBER
*
Format: (000) 000-0000.
WORK NUMBER
*
Format: (000) 000-0000.
GRADUATION YEAR
*
LAW SCHOOL WHERE YOU GRADUATED
*
WILL YOU CONSENT TO A BACKGROUND CHECK ?
*
Yes
No
ARE YOU WILLING TO WORK PRO BONO?
*
Yes
No
DO YOU HAVE AN ACTIVE LICENSE TO PRACTICE LAW?
*
No
Yes
IF YES, PLEASE SPECIFY JURIDICTION.
PLEASE TELL US WHY YOU WANT TO VOLUNTEER WITH US.
Maximum 500 Characters
HOW MANY HOURS/WEEK WOULD YOU BE WILLING TO DEDICATE TO OUR CAUSE?
*
ADDITIONAL COMMENTS
PLEASE UPLOAD YOUR CV/RESUME
*
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