You are on page 1of 1

Volunteer Attorney Information

Thank you for your interest in serving as pro bono counsel in Charity Corps. In order to assist us in
matching you with an appropriate nonprofit, please complete this form.
Name: __________________________________________________________________________
Name of Firm (if applicable):_______________________________________________________
Contact Information
Street Address:___________________________________________________________________
City:______________________________ State:___________________ Zip:___________________
Phone:_________________________________ Fax:____________________________________
Email Address:___________________________________________________________________
Background Information
Year of Bar Admission(s)___________________________________________________________
Practice Areas:___________________________________________________________________
_______________________________________________________________________________
Describe any experience you have had in representing nonprofits and/or serving on nonprofit boards
(attach additional pages if necessary): _________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
How much time per month are you available to assist a nonprofit? __________________________
Are you interested in attending Continuing Legal Educations programs concerning nonprofit
governance and law? ______________________________________________________________
How did you hear about Charity Corps? _______________________________________________
Are you fluent in any foreign language(s)? (please identify)________________________________

Please submit completed forms via email to charitycorps@nysba.org

You might also like