1.Are you willing to take cases pro bono from Legal Aid Society?

Yes, I am willing to take cases

No, I am not willing to take cases

*2.What is your first name?(Required.)

*3.What is your last name?(Required.)

*4.What is your work email address?(Required.)

*5.What is your firm name? (Required.)

6.What is your office address?

*7.What is your preferred phone number?(Required.)

*8.What is your BPR number? (Required.)

*9.Please select the case type(s) that you are willing to accept pro bono(Required.)

Adoptions

Bankruptcy

Breach of Contract

Conservatorship

Debt Collection

Divorce

Employment Law

General Litigation

Landlord/Tenant

Orders of Protection

Powers of Attorney

Re-Entry Issues

SSI/SSDI Cessation

Tort Defense

Other (please specify)

*10.Which of Legal Aid Society's 48 counties are you willing to take cases for direct representation?(Required.)

Anderson

Bedford

Campbell

Cannon

Cheatham

Claiborne

Clay

Coffee

Cumberland

Davidson

DeKalb

Dickson

Fentress

Franklin

Giles

Grundy

Hickman

Houston

Humphreys

Jackson

Lawrence

Lewis

Lincoln

Macon

Marshall

Maury

Montgomery

Moore

Morgan

Overton

Perry

Pickett

Putnam

Roane

Robertson

Rutherford

Scott

Smith

Stewart

Sumner

Trousdale

Union

Van Buren

Warren

Wayne

White

Williamson

Wilson

11.May we also contact you about volunteering for our monthly telephone clinics?

Yes

No

Other (please specify)

12.Are there other ways you would like to contribute to Legal Aid Society?