Attorney Registration Form

Attorney Registration Form
Basic Information
Full Name*

PrefixFirst NameLast NameSuffix
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Education & Qualifications
What law school did you attend?*
Year of Graduation*
YesNo
Bar Number and Jurisdiction*
Professional Background
Family LawDomestic ViolenceCustodyOther (please specify)
If other, please specify. Otherwise, enter N/A.*
Current Employment/Practice*
YesNo
If yes, please briefly describe your experience. Otherwise, enter N/A.*
Availability and Commitment
How many hours per month can you commit to pro bono work?*
In-PersonVirtualBoth
YesNo
If yes, please specify. Otherwise, enter N/A.*
Available Start Date*

MonthDayYear
Date
SundayMondayTuesdayWednesdayThursdayFridaySaturday
MorningsAfternoonsEveningsWeekendsFlexible
Custody and VisitationDivorce and SeparationDomestic Violence/Protection OrdersChild Support and ModificationOther (please specify)
If other, please specify. Otherwise, enter N/A.*
Professional and Ethical Considerations
YesNo
If yes, If yes, please provide details:. Otherwise, enter N/A.*
YesNo
YesNo
Legal Experience
How many years of experience do you have practicing family law?*
YesNo
YesNo
Are you familiar with trauma-informed legal advocacy? Please explain your experience or understanding.*
Have you ever worked with clients who have experienced domestic violence, abuse, or family trauma? Please explain your experience or understanding.*
Do you have experience preparing and filing emergency motions, restraining orders, or protective orders? Please explain your experience or understanding.*
Technical Experience
What tools or software do you use for case management or documentation?*
Personal Statements
Why do you want to provide pro bono services through Believe Again Safe Haven?*
What motivates you to support underserved families facing family law challenges?*
How do you see your legal skills contributing to advocacy and systemic change for underserved communities?*
Tell us about a case or client that shaped the way you practice law.*
References
Please provide at least two professional references: (Name, Contact Information, Relationship)*
How did you hear about us?*
Thank you for your willingness to make a difference. We will review your application and contact you soon.

With gratitude,
Anna Sciotti
President, Founder, and CEO
Believe Again Safe Haven
Should be Empty:

Attorney Registration Form

Basic Information

Education & Qualifications

Professional Background

Availability and Commitment

Professional and Ethical Considerations

Legal Experience

Technical Experience

Personal Statements

References