Please complete
the Pro Bono Registration form and click on Submit.
You will receive
an email confirmation once your form has been processed.
* required
fields
User ID
(must be 10 digit
Numeric).*
To assure an unique ID that is easy to remember
we recommend using your cell
or home phone number. If you
have a solo practice you may choose to use your office
number.
Logon
password*
This will be
required to log onto the Pro Bono System.
First
Name*
Last
Name*
Primary
Email Address*
Member
Type*
Attorneys Areas of
Practice for Pro Bono work *
Hold down the
control (Ctrl) key while clicking to select more than one
area.
Service providers Services provided
to our Pro Bono Attorneys *
Hold down the
control (Ctrl) key while clicking to select more than one
area.
Firm
Name
Mailing
Address*
City*
Zip
Code*
Phone*
Counties
where you are willing to accept pro bono cases *
Hold down
the control (Ctrl) key while clicking to select more than one County or
Language.
Language
Proficiencies *
Confirmation code *
Enter current month and Day (MMDD) This is
required to filter out submissions from automated spammers.
