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New York StateUnified Court System

Volunteer Lawyer for the Day Program Application

Civil Court of the City of New York
111 Centre Street, Room 1242
New York, New York 10013
212-618-0680 Fax



* Required Fields
** Either home or work phone is required.



Office Address:

Home Address:

** Office Phone:
**Home Phone:
Office Fax:
Home Fax:
* Main E-Mail:
Alternate E-Mail:

* Admitted to Practice in:

* Year of Admission:

Practice/Specialty areas:

Courthouse Preference:
(If more than one, indicate by number in order of preference)



Prefer to assist:
Landlord       Tenant       Either

Mail preference: (sent to business unless otherwise stated)
Business       Home

*How did you hear about the Volunteer Lawyer for the Day Project?

*Have you participated in prior Volunteer Lawyer for the Day training sessions? yes     no

If so, state session(s) and date(s) attended.

















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