PAI Volunteer Registration - Legal Aid Society of Northeastern New York

Name

First Last

Law Firm

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email(Required)

In which areas of law will you accept referrals? (Check all that apply)

Level of Representation you are willing to provide to LASNNY Clients. (Check all that apply.)

Advice Only

Brief Service (i.e. petitions, document preparation)

Clinic Setting (i.e. teaching self-represented litigants)

Extended Representation

Limited Scope - in court representation

Remote (i.e. via phone, virtual)

Listed below are the counties that we serve. Please check the counties from which you can accept referrals. (Check all that apply.)

Do you speak a language other than English?

If yes, what languages:

I am a:

Attorney

Paralegal

Attorney Emeritus

Other Professional

Date of Admission & State(s) Admitted

Title / Area of Expertise