Bloomington Legal Advice Fair Volunteer Registration

Name*

First Name

Last Name

Law Office/Affiliation*

Email*

Phone Number*

I am a(n)*

Attorney Retired/Inactive Attorney Attorney registered out of state Paralegal or Other Legal Professional

Other:

In order to participate in pro-bono activities as a retired/inactive/out of state attorney, please reach out toclorenz@pili.org to receive a Pro Bono Authorization Form to be filled out and filed with the ARDC.

ARDC Number *

If you are retired/inactive/out of state, please write "N/A"

Legal Experience-Please briefly describe your legal experience and in what areas you would be comfortable advising clients.*

We are especially interested in family law experience.

Please briefly describe your experience and in what areas you work with clients. *

Do you speak any other languages? Is yes, please list them. *

Do you have a laptop you can bring to the clinic?*

Yes No

Is there anything else you would like to add?