Pro Bono Application


Prefix:
First Name:
Middle Initial:
Last Name:
 
Address:
City:
State:
Zip Code:
 
 
Phone Number:
Email Address:
 
 
 
Year of NYS Bar Admission:
Attorney Registration Number: 
Do you have an Attorney Secure Pass?: 
Yes No   
 (An Attorney Secure Pass will be required before participation)
 
Practice/Specialty Areas: 
Select Assignments You Prefer:
Consumer Debt
 
Family Matters (Custody, Visitation and Child Support)
 
Mortgage Foreclosures
 
Landlord/Tenant Cases
 
Matrimonials
 
Small Estates
 
If Other, Please Specify:

 

Select Counties in which You Are Available: 

Bronx
 
Brooklyn
 
Manhattan
 
Queens
 
Staten Island
 
Nassau
 
Suffolk
 
Westchester
 
 
If Other, Please Specify:
 
 
Preferred Days of the Week:
Preferred Times of the Day:
9 am - 5 pm
6 pm - 9 pm