| * Name |
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| Firm |
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| * Address |
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| * City, State, Zip |
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| * Work Phone |
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| Cell Phone |
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| Fax |
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| * Email |
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| Barred in Maryland |
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| Year Barred in Maryland |
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| Year Admitted to USBC for the District of MD (via USDC) |
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| USBC Admittance |
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| * Total Years of Consumer Practice Experience |
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| * Court Admissions |
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| Areas of Expertise (to be listed on the Low Bono Listings, if any |
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| Languages Spoken (Other than English) |
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| * Counties Served |
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| * Court Location Preference |
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Check All That Apply: |
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I would like to volunteer to... |
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| Volunteer to staff the Debtor Assistance Project Office |
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| Add my name to the Low Bono and Deferred Payment Chapter 13 Attorney List |
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| Add my name to the Low Bono Chapter 7 Attorney List |
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If you have registered above as a Debtor Assistance Project Volunteer, please check the
following if applicable: |
| I am a current MVLS volunteer
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| Comments for the Pro Bono Coordinator |
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I certify that: (1) the information above is true and correct, (2) I have read
through the description of each program I am volunteering for, and (3) I will
contact the Pro Bono Coordinator with any updates to my profile or requests for
removal.
Program Specific Certifications: - If I signed up for either the Low Bono
Chapter 7 or 13 Listing, I will complete my annual pro bono service
requirement, which consists of ONE of the following:
1. Complete 2 pro bono cases per year through MVLS' Chapter 7 Pro Bono Panel
2. Agree to staff the Debtor Assistance Project office for 4 hours (which is equal is 2 DAP sessions) every 6 months.
- If I signed up to staff the Debtor Assistance Project Office,
I understand that, during DAP consultations, I am permitted to select up to 5 attorneys (from the low bono listings) as referral suggestions for DAP clients. I understand that I may not select myself as one of the 5 referrals.
I
understand that DAP clients may choose to initiate contact with me at a later date if they are interested in retaining me as their legal counsel, and that any initial contact with former DAP clients cannot be initiated by me.
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| * Certification Checkbox
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