Name*
First
Last
Contact Information Current Address*
Preferred method of contact*
Education and Professional Qualification Current or Highest Level of Education/Professional Qualification* Language(s), other than English, that you speak or write (indicate level of fluency)
Your Interests How did you hear about Bay Area Legal Aid (BayLegal)?
Volunteer and Pro Bono Interest(s) - check all that apply*
Law Clerks - please indicate your availability by academic semester and/or start and end dates, along with hours of availability and information about your school Availability by academic semester - check all that apply:* Clinic Externship? (If yes, please specify any externship requirements in your cover letter (e.g., written evaluations, time keeping, hours per week, etc.)*
Office location preference and schedule Mornings available - check all that apply: Afternoons available - check all that apply:
Practice Areas - select at least one field of interest, and up to 4 more in ranked order First area of practice interest* Consumer Protection (Alameda, Contra Costa, San Francisco, San Mateo, Santa Clara) - Advocacy and litigation to address economic and financial problems affecting low-income consumers Economic Justice (Alameda, Contra Costa, Marin, Napa, San Francisco, Santa Clara) - Assist clients in obtaining desperately needed health coverage, as well as public and disability benefits (CalWorks, SSI, etc.) and essential services Family Law for Domestic Violence Survivors (Alameda, Contra Costa, Napa, San Francisco, San Mateo, Santa Clara) – Provide litigation assistance in a full range of family matters, including divorce, custody, visitation, child and support orders and restraining orders. Health Access – (Alameda, Santa Clara) - Assist with providing counsel; to negotiate with agencies and organizations which provide health services; to represent clients in state administrative hearings on a variety of legal issues related to obtaining health care services and coverage Housing – (Alameda, Contra Costa, Napa, San Francisco, Santa Clara) - Prevent homelessness by fighting illegal evictions and filing Fair Housing administrative complaints Immigration Advocacy for Domestic Violence and Sexual Assault Survivors (Alameda, Contra Costa, Napa, San Francisco, San Mateo, Santa Clara) - Work with survivors on applications for immigration relief (VAWA self-petitions; U Visa non-immigrant petitions, U based adjustment of status applications) Individualized Legal Support Services (San Francisco) - Eliminate barriers to employment or self-sufficiency, such as assisting with traffic fee payment plans that allow drivers’ licenses to be reinstated. Medical-Legal Partnership (Alameda; Contra Costa) - Wraparound legal services, including seeking to overcome an arrest history) Reentry (Alameda; Contra Costa) – Help provide wrap-around legal services for clients by assisting with criminal record remedies, driver’s license restoration, direct representation in a wide array of civil legal practice areas, and by participating in ongoing impact litigation Youth Justice Team (Alameda; Santa Clara) - legal advocacy for youth, including foster care entry and benefits, guardianships, education advocacy, immigration, restraining orders, family law, public benefits and SSI
Second area of practice interest Consumer Protection (Alameda, Contra Costa, San Francisco, San Mateo, Santa Clara) - Advocacy and litigation to address economic and financial problems affecting low-income consumers Economic Justice (Alameda, Contra Costa, Marin, Napa, San Francisco, Santa Clara) - Assist clients in obtaining desperately needed health coverage, as well as public and disability benefits (CalWorks, SSI, etc.) and essential services Family Law for Domestic Violence Survivors (Alameda, Contra Costa, Napa, San Francisco, San Mateo, Santa Clara) – Provide litigation assistance in a full range of family matters, including divorce, custody, visitation, child and support orders and restraining orders. Health Access – (Alameda, Santa Clara) - Assist with providing counsel; to negotiate with agencies and organizations which provide health services; to represent clients in state administrative hearings on a variety of legal issues related to obtaining health care services and coverage Housing – (Alameda, Contra Costa, Napa, San Francisco, Santa Clara) - Prevent homelessness by fighting illegal evictions and filing Fair Housing administrative complaints Immigration Advocacy for Domestic Violence and Sexual Assault Survivors (Alameda, Contra Costa, Napa, San Francisco, San Mateo, Santa Clara) - Work with survivors on applications for immigration relief (VAWA self-petitions; U Visa non-immigrant petitions, U based adjustment of status applications) Individualized Legal Support Services (San Francisco) - Eliminate barriers to employment or self-sufficiency, such as assisting with traffic fee payment plans that allow drivers’ licenses to be reinstated. Medical-Legal Partnership (Alameda; Contra Costa) - Wraparound legal services, including seeking to overcome an arrest history) Reentry (Alameda; Contra Costa) – Help provide wrap-around legal services for clients by assisting with criminal record remedies, driver’s license restoration, direct representation in a wide array of civil legal practice areas, and by participating in ongoing impact litigation Youth Justice Team (Alameda; Santa Clara) - legal advocacy for youth, including foster care entry and benefits, guardianships, education advocacy, immigration, restraining orders, family law, public benefits and SSI
Third area of practice interest Consumer Protection (Alameda, Contra Costa, San Francisco, San Mateo, Santa Clara) - Advocacy and litigation to address economic and financial problems affecting low-income consumers Economic Justice (Alameda, Contra Costa, Marin, Napa, San Francisco, Santa Clara) - Assist clients in obtaining desperately needed health coverage, as well as public and disability benefits (CalWorks, SSI, etc.) and essential services Family Law for Domestic Violence Survivors (Alameda, Contra Costa, Napa, San Francisco, San Mateo, Santa Clara) – Provide litigation assistance in a full range of family matters, including divorce, custody, visitation, child and support orders and restraining orders. Health Access – (Alameda, Santa Clara) - Assist with providing counsel; to negotiate with agencies and organizations which provide health services; to represent clients in state administrative hearings on a variety of legal issues related to obtaining health care services and coverage Housing – (Alameda, Contra Costa, Napa, San Francisco, Santa Clara) - Prevent homelessness by fighting illegal evictions and filing Fair Housing administrative complaints Immigration Advocacy for Domestic Violence and Sexual Assault Survivors (Alameda, Contra Costa, Napa, San Francisco, San Mateo, Santa Clara) - Work with survivors on applications for immigration relief (VAWA self-petitions; U Visa non-immigrant petitions, U based adjustment of status applications) Individualized Legal Support Services (San Francisco) - Eliminate barriers to employment or self-sufficiency, such as assisting with traffic fee payment plans that allow drivers’ licenses to be reinstated. Medical-Legal Partnership (Alameda; Contra Costa) - Wraparound legal services, including seeking to overcome an arrest history) Reentry (Alameda; Contra Costa) – Help provide wrap-around legal services for clients by assisting with criminal record remedies, driver’s license restoration, direct representation in a wide array of civil legal practice areas, and by participating in ongoing impact litigation Youth Justice Team (Alameda; Santa Clara) - legal advocacy for youth, including foster care entry and benefits, guardianships, education advocacy, immigration, restraining orders, family law, public benefits and SSI
Fourth area of practice interest Consumer Protection (Alameda, Contra Costa, San Francisco, San Mateo, Santa Clara) - Advocacy and litigation to address economic and financial problems affecting low-income consumers Economic Justice (Alameda, Contra Costa, Marin, Napa, San Francisco, Santa Clara) - Assist clients in obtaining desperately needed health coverage, as well as public and disability benefits (CalWorks, SSI, etc.) and essential services Family Law for Domestic Violence Survivors (Alameda, Contra Costa, Napa, San Francisco, San Mateo, Santa Clara) – Provide litigation assistance in a full range of family matters, including divorce, custody, visitation, child and support orders and restraining orders. Health Access – (Alameda, Santa Clara) - Assist with providing counsel; to negotiate with agencies and organizations which provide health services; to represent clients in state administrative hearings on a variety of legal issues related to obtaining health care services and coverage Housing – (Alameda, Contra Costa, Napa, San Francisco, Santa Clara) - Prevent homelessness by fighting illegal evictions and filing Fair Housing administrative complaints Immigration Advocacy for Domestic Violence and Sexual Assault Survivors (Alameda, Contra Costa, Napa, San Francisco, San Mateo, Santa Clara) - Work with survivors on applications for immigration relief (VAWA self-petitions; U Visa non-immigrant petitions, U based adjustment of status applications) Individualized Legal Support Services (San Francisco) - Eliminate barriers to employment or self-sufficiency, such as assisting with traffic fee payment plans that allow drivers’ licenses to be reinstated. Medical-Legal Partnership (Alameda; Contra Costa) - Wraparound legal services, including seeking to overcome an arrest history) Reentry (Alameda; Contra Costa) – Help provide wrap-around legal services for clients by assisting with criminal record remedies, driver’s license restoration, direct representation in a wide array of civil legal practice areas, and by participating in ongoing impact litigation Youth Justice Team (Alameda; Santa Clara) - legal advocacy for youth, including foster care entry and benefits, guardianships, education advocacy, immigration, restraining orders, family law, public benefits and SSI
Fifth area of practice interest Consumer Protection (Alameda, Contra Costa, San Francisco, San Mateo, Santa Clara) - Advocacy and litigation to address economic and financial problems affecting low-income consumers Economic Justice (Alameda, Contra Costa, Marin, Napa, San Francisco, Santa Clara) - Assist clients in obtaining desperately needed health coverage, as well as public and disability benefits (CalWorks, SSI, etc.) and essential services Family Law for Domestic Violence Survivors (Alameda, Contra Costa, Napa, San Francisco, San Mateo, Santa Clara) – Provide litigation assistance in a full range of family matters, including divorce, custody, visitation, child and support orders and restraining orders. Health Access – (Alameda, Santa Clara) - Assist with providing counsel; to negotiate with agencies and organizations which provide health services; to represent clients in state administrative hearings on a variety of legal issues related to obtaining health care services and coverage Housing – (Alameda, Contra Costa, Napa, San Francisco, Santa Clara) - Prevent homelessness by fighting illegal evictions and filing Fair Housing administrative complaints Immigration Advocacy for Domestic Violence and Sexual Assault Survivors (Alameda, Contra Costa, Napa, San Francisco, San Mateo, Santa Clara) - Work with survivors on applications for immigration relief (VAWA self-petitions; U Visa non-immigrant petitions, U based adjustment of status applications) Individualized Legal Support Services (San Francisco) - Eliminate barriers to employment or self-sufficiency, such as assisting with traffic fee payment plans that allow drivers’ licenses to be reinstated. Medical-Legal Partnership (Alameda; Contra Costa) - Wraparound legal services, including seeking to overcome an arrest history) Reentry (Alameda; Contra Costa) – Help provide wrap-around legal services for clients by assisting with criminal record remedies, driver’s license restoration, direct representation in a wide array of civil legal practice areas, and by participating in ongoing impact litigation Youth Justice Team (Alameda; Santa Clara) - legal advocacy for youth, including foster care entry and benefits, guardianships, education advocacy, immigration, restraining orders, family law, public benefits and SSI
Within the area(s) of practice marked above, I am interested in - check all that apply:*
Legal Clinics - check all in which you are interested and potentially available Clinic Type - check all that apply* DVRO Clinics by County - check all that apply Domestic Violence Restraining Order (DVRO) Clinics - Contra Costa County Domestic Violence Restraining Order (DVRO) Clinics - San Mateo County Consumer Rights Clinics by County - check all that apply Consumer Rights Clinics - Alameda County Consumer Rights Clinics - Contra Costa County Consumer Rights Clinics - Napa County Consumer Rights Clinics - San Francisco County Consumer Rights Clinics - San Mateo County Consumer Rights Clinics - Santa Clara County Housing Clinics - Contra Costa County
Pro Bono Attorneys Disciplinary Complaints* Have any disciplinary complaints ever been filed against you with any state bar?
All Applicants Are you seeking to fulfill a volunteer requirement?* Please submit (1) resume and references, (2) cover letter, and (3) writing sample
