Estate Planning Volunteer Registration Form - Home Preservation Project (HPP)

Tell us about yourself! Please type full names and addresses as you'd like communications to be addressed.

Prefix:

First Name:

Last Name:

Email Address

Email Label:

PersonalWorkOther

Home Address

Address 1:

Address 2:

City:

State:

ZIP Code:

Work Address (if any)

Company:

Address 1:

Address 2:

City:

State:

ZIP Code:

Website:

Phone Contact (s) (XXX-XXX-XXXX)

Home Phone:

Cell Phone:

Work Phone:

Primary Phone Contact:

HomeCellWork

Training Information

Required Training: Estate Planning Basics for Low-Income Clients

The training covers drafting simple wills, advance medical directives, financial powers of attorney, as well as ethical considerations when consulting with clients. Participants must be lawyers and agree to prepare two estate plans pro bono within one year of registering. Volunteer lawyers will receive malpractice insurance and access to a mentor for their pro bono matters.

What is your role in this training?

What is the name of your legal services provider organization?

Please enter all states where you are licensed to practice (including Maryland) and the year and bar number. Attorneys not barred in MD must become specially authorized to practice pro bono in MD (contact Annie Speedie at aspeedie@probonomd.org for more information).

State Licensed

Year Admitted

Bar Number

Status

Please list areas in which you have experience and how many years experience you have in each area. (Add as many as you like.)

Practice Area

Years Experience

Please enter all spoken languages, your fluency level, and whether you are willing to volunteer to interpret or translate. (Add as many as you like.)

Language

Fluency

Willing to Interpret?

YesNo

Willing to Translate?

YesNo

Pro Bono Commitment Information

Do you agree to assist 2 clients with simple estate plans (1-3 documents each) pro bono, either at a clinic or through a regional nonprofit legal services provider within 1 year of this registration?

Yes! I agree to assist 2 clients pro bono within 1 year of this registration.

From which Maryland county/counties would prefer to accept cases or clients?

As a volunteer attorney, do you agree that you will not solicit or attempt to solicit or represent clients/attendees present at any clinic or referred by a pro bono partner unless you are agreeing to represent the clients/attendees on a pro bono basis? Initial to agree.

Please type your name to certify that the above information is true.

E-Bulletin

Yes, I would like to receive PBRC's E-Bulletin, a weekly email about pro bono opportunities in MD