1. Default Section

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* 1. First Name

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* 2. Last Name

(Note: This address will be used by the The Veterans Consortium Program and by your client. Please do not enter a P.O. Box address.)

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* 3. Contact Information

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* 4. Telephone/Fax

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* 5. Size of Organization/Firm

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* 6. Have you previously applied for or attended a PBP training?

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* 7. Location and date of training you are interested in attending (if known)

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* 8. How did you find out about the Veterans Pro Bono Program?

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* 9. Organization's/Firm's Pro-Bono Contact (if any):

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* 10. Law school attended?

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* 11. Year of Graduation from law school? (write in none if not graduated law school)

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* 12. How many years have you been licensed to practice law?

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* 13. Main areas of practice (check all that apply)?

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* 14. If you chose JAG/MILITARY as one of your practice areas, describe your practice areas/specialties within the JAG/military

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* 15. Are you a veteran?

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* 16. IF A VETERAN: In which branch of the United States military did you serve?

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* 17. IF A VETERAN: Date of Entry:

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* 18. IF A VETERAN: Date of Separation:

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* 19. Are you VA Accredited? (note: VA accreditation is not required to participate in this program)

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* 20. Have you handled a case before the Court of Appeals for Veterans Claims?

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* 21. Have you previously handled an appellate case?

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* 22. When (date) are you available to take a case (leave blank if no restriction)?

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* 23. Bar status

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* 24. State in which you are Licensed (NA if not licensed)

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* 25. Bar Number (if your state does not issue bar numbers, enter NA)

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* 26. If you are licensed in more than one state or have ever been licensed in a state other than the one listed above, place the information in the box below

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* 27. Have you ever been, or are you currently, the subject of a disciplinary complaint or been refused admission to practice, disbarred, suspended, reprimanded, sanctioned, or held in contempt by any court, administrative agency or regulatory body?

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* 28. Additional languages spoken:

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* 29. Why are you interested in taking this training?

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* 30. Any additional comments?

The Next Three Questions are Optional.

The Veterans Consortium Pro Bono Program requests demographic information from attorneys who volunteer for our Program. Any information that we collect is compiled for statistical purposes only in response to requirements of our federal grant. Your answers are optional. There is no penalty for declining to provide this information.



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* 31. Gender

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* 32. Ethnic background

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* 33. In what year were you born?

The training is not first-come first-serve. We review every application carefully. We look at such things as bar status, years of experience, areas of expertise and the size of one’s organization in order to have a diverse mix of volunteers, including volunteers from small firms, solo practitioners, corporate counsel, those with military experience, those with foreign language skills, and the like. Depending on the size of the host organization, there is also a maximum capacity, which may result in a waiting list.
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