Volunteer: Lawyer Volunteer Application

Lead Status
Lawyer Volunteer Application
Salutation
First Name*
Last Name*
Pronouns
Gender
Race/Ethnicity
Birthdate

MonthDayYear
Date
Are you currently a student?

YesNo
Email*
example@example.com
Phone*
Please enter a valid phone number.
Company Name*
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Volunteer Interest (you may select more than one)*

Accepting Pro Bono ReferralsStaffing Art Law ClinicsAvailable to Lecture
How did you hear about us?
Please share how you heard about MDVLA.
Are you a member of the bar?*

YesNo
Year admitted to the Bar?
Where are you barred?

MarylandVirginiaWashington D.C.Federal Court (District)Other State
Legal Practice Area

Administrative LawCommercial PropertyConstitutional LawContractsCopyrightCorporate LawCorporate non profitEmploymentHousingNon profit formationPatentPrivacy LawTrademarkOther
If other, please share your legal practice area.
Share the language(s) other than English that you would be comfortable conversing in with a client

SpanishChinese Incl. Mandarin CantoneseFrench Incl. CajunOther
Billable Hourly Rate
Do you have malpractice insurance

YesNo
Share carrier name.
Share policy number.
Adverse Parties
Lead Source
OwnerId
Lead Record Type

Volunteer Lead
Should be Empty: