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Pro Bono Online System -- Apply To Be Approved Organization
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Organization Name & Description
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Organization Name:
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Organization Description:
Parent Organization Name:
Contact Details
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Address 1:
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Email:
Address 2:
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Work Phone:
Extn:
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City:
Website:
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State:
Select
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AZ
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CA
CO
CT
DE
DC
FL
GA
GU
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ID
IL
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KS
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MD
MA
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MS
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NJ
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NC
ND
OH
OK
OR
PM
PA
PR
RI
SC
SD
TN
TX
VI
UT
VT
VA
WA
WV
WI
WY
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Zip Code:
Public Contact Information
First Name:
Last Name:
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Phone:
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Email:
Fax:
Private Contact Information
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Organization Director:
Administrator:
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Director Phone:
Administrator Phone:
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Director Email:
Administrator Email:
Comments:
Additional Information
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Select Category:
Pro Bono Organization
Law School Program
Fee-Exemption
Government Organization
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Organization Type:
Select
Legal Services
Law School Clinic
Law School Program
Governmental Organization
Other
If Others, Please specify:
Number of pro bono clients served per year:
Year first in Operation:
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Serves Low Income Population?
Yes
No
Nature of Legal work provided:
# of Volunteer attorneys:
Appox # of Hours each attorney donates per year:
Additional information you would like the Court to consider:
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