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* 1. Name

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* 2. Title

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* 3. Firm/Organization Name

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* 4. Are you completing this form on behalf of your firm/organization or individually?

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* 5. Email Address

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* 6. City, State

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* 7. Please indicate the key market(s) for your firm/organization. Check all that apply.

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* 8. Which NWLC program area(s) interests you or your firm/organization the most? Check all that apply.

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* 9. Are there specific skills or expertise that you or professionals at your firm or organization can offer pro bono that haven’t been captured in the above question? Check all that apply.

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* 10. If you selected state civil procedure in question 7, please check the applicable states. Check all that apply.

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* 11. If you selected state constitutional law in question 7, please check the applicable states. Check all that apply.

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* 12. Which of the following types of pro bono projects are you or your firm/organization interested in partnering on? Check all that apply.

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* 13. The Legal Network for Gender Equity and the TIME’S UP Legal Defense Fund, administered by the National Women’s Law Center Fund LLC, connects people who face sex discrimination, including sexual harassment and related retaliation at work, at school, or when getting health care, with legal assistance. Are you/your firm or organization interested in learning more about how to provide pro bono support for the Legal Network for Gender Equity and/or the TIME’S UP Legal Defense Fund through any of the following? Check all that apply.

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* 14. Are you/your firm or organization interested in donating space in the D.C. area throughout the year to the National Women’s Law Center meetings and events (i.e. retreats, conferences, etc.)? If so,

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* 15. Do you/does your firm or organization have a fellowship program that we should apply to be a host for?

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* 16. Please share with us any additional information on how your firm or company would like to collaborate with the NWLC that has not been answered by the questions above.

If you have any further questions or comments, please contact probono@nwlc.org
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