We thank you for your interest in providing services! Please fill out the following information.
Your Name (required)
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Phone Number
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Date of Admission to the Maryland Bar:
Practice Area
I speak the following languages (other than English and well enough to communicate with clients)
I prefer to accept cases in the following counties (Please check all that apply):
---AlleghanyAnne ArundelBaltimore CityBaltimore CountyCalvertCarolineCarrollCecilCharlesDorchesterFrederickGarrettHarfordHowardKentMontgomeryPrince George'sQueen Anne'sSt. Mary'sSomersetTalbotWashingtonWicomicoWorcester
We try to connect clients with attorneys based on the attorney's preferred topic area. If you would like to try a case in an area of law that is new to you, we can match you and an experienced attorney who can provide guidance or co-counseling. Please let us know the following for the following topic areas.
-Cases you will accept - cases you can take without needing assistance -Cases you will accept, but need a mentor-cases you are interested in taking, but are not in your experience area -Case topics you can mentor-cases in which you would feel comfortable advising a less-experienced attorney. (Note that you can accept and mentor in the same topic areas.) ________________________________________________________
Family Law | check if Accept Cases
Abuse/Domestic Violence Child Adoption Child Custody/visitation/Support Divorce and Civil Union Dissolution
Family Law | check if Need Mentor
Abuse/Domestic Violence Child Adoption ChildCustody/visitation/Support Divorce and Civil Union Dissolution
Family Law |check if Can Mentor
Abuse/Domestic Violence Child Adoption Child Custody/Visitation/Support Divorce and Civil Union Dissolution
________________________________________________________
Small Estates & Trust Law | check if Accept Cases
Advance Directive Power of Attorney Wills
Small Estates & Trust Law | check if Need Mentor
Small Estates & Trust Law | check if Can Mentor
Anti-Discrimination Law | check if Accept Cases
Educational Settings Employment Healthcare/Insurance Housing Public Accommodations
Anti-Discrimination Law | check if Need Mentor
Anti-Discrimination Law | check if Can Mentor
________________________________________________________ Other | check if Accept Cases
Assault/Hate Crime Name/Identification Change Prisoner's Rights
Other | check if Need Mentor
Other | check if Can Mentor
Assault/Hate Crime Name/Identification Change Prisoner's Rights ________________________________________________________
By signing this document, I agree to the following:
1. I am admitted to practice law in the state of Maryland, and am currently a member of the bar in good standing. I have not been disciplined by the Attorney Grievance Commission, nor am I currently the subject of a grievance proceeding. 2. FreeState does not discriminate against, and, in fact, celebrates the differences among members of staff, volunteers, and clients, including, but not limited to, those related to sexual orientation, gender identity, race, sex, ethnicity, religion, national origin and disability. 3. I understand that in order to join the FreeState Pro Bono Panel, I must agree to the following conditions for accepting a referral: a. I shall assist the client with the matter within the assigned Scope of Representation, and the term of the pro bono representation shall be the period necessary to fulfill the Scope of the Representation, as defined in the client representation agreement. b. Pro bono clients shall not be charged any fee for my time spent on the Scope of Representation. c. I shall keep records of my time working for the client, which time will be reported to FreeState. d. I shall consult regularly with the client and will notify the client of significant developments. e. I acknowledge that I am subject to the Maryland Lawyers’ Rules of Professional Conduct and the terms of this agreement shall be interpreted consistently with the requirements of those Rules. f. I will notify FreeState at the termination of pro bono representation with the outcome of the representation and complete a satisfaction survey, which is necessary for FreeState’s funding purposes. g. While providing services for the client, I will be covered by FreeState’s malpractice insurance, which has a limit of $1,000,000. h. It is expressly understood that this Agreement represents the entire agreement between myself and FreeState and supersedes all previous oral and written agreements, and may not be modified except by amendment in writing signed by all parties. No oral agreement or representation shall be binding.
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