Volunteer Questionnaire

 Volunteer Position You're Applying for:
Attorney (Bar Number and legal specialty )
Paralegal (Please indicate your legal specialty: )
Law Student Intern (School and Grad Year: )
Student Intern, undergrad (School, Major and Grad Year: )
Administrative Support (Please indicate experience: )
Other: Please indicate the skills, expertise and/or experience you'd like to bring to Public Counsel: )
 Please Tell Us About You:
Name:
Home Address:
City:
State: ZIP/Postal:
Telephone: Ext:
Fax:
Pager:
E-mail Address
Foreign Language(s) Spoken:
Foreign Language(s) Written:
Availability: (To select multiple days use the ctrl key)
Times: From: To:
Check here if you plan to volunteer from your office or home.

Employer: Retired
Office Address:
City:
State ZIP/Postal:
Do  you have any specialized skills or expertise that you'd like to bring to Public Counsel (i.e., photography, catering, calligraphy):
How were you referred to Public Counsel?

Please rank your volunteer interest (1-3, 1 being highest) between Public Counsel's six Law  Projects and check the specific programs within those projects that most interest you: Please choose no more than three projects.

Child Care Issues

Rank:

Child Care Subsidies

Landlord/Tenant

Licensing

Zoning

Children's Rights Project

Rank:

Adoptions

Dependent Children's Tort Claims

Families Affected by AIDS

Speaking at High Schools

   

Children's Rights Project (Cont...)

 

Teen Legal Clinics

Issues for Pregnant & Parenting Teens

Special Education

Guardianships

 

Community Development

Rank:

Affordable Housing

Community Health Clinics

Non-Profit Corporations

Small Businesses

 

Consumer Fraud

Rank:

Car Fraud

Debt Collection Abuse

Housing Equity Fraud

Trade School Abuse

Homelessness Prevention

Rank:

Homeless Veterans Clinics

Homeless Youth Clinics

Public Benefits Advocacy

Shelter Legal Clinics

Juvenile Hall Clinic

 

Immigrants' Rights

Rank:

Asylum

Suspension of Deportation

Representing Battered Immigrant Women

 

Additional Notes or Comments:
Your resume should be submitted by e-mail, fax, or mail immediately following the submission of this application.
Public Counsel Attn: Ted Zepeda Fax: (213) 385-9089  
610 So. Ardmore Ave. Tel: (213) 385-2977 x125  
Los Angeles, CA 90005 Email: tzepeda@publiccounsel.org