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Volunteer Lawyers Program Application

Civil Court of the City of New York
111 Centre Street, Room 1240
New York, New York 10013
(646) 386-5412
(212) 374-5709 Fax

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

* NAME:

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:

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

Bronx
Brooklyn
Harlem
Manhattan
Queens

Prefer to assist:
Landlord       Tenant       Either

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

*How did you hear about the Volunteer Lawyers Program?

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

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

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