CLEVELAND HOMELESS LEGAL ASSISTANCE PROGRAM

LAW STUDENT VOLUNTEER FORM

NAME:             ______________________________________                   

ADDRESS:       ______________________________________

                         ______________________________________

PHONE:           _________________________            EMAIL: ____________________________

Law School:      ____________________________________

Class Year:             1L ____    2L ____    3L____

If 3L, do you have a Legal Intern Certificate? [ ] Yes, [ ] No

Are you interested in getting one?  [ ] Yes    [ ] No

Most CHLAP clients request assistance in the following areas: expungements, divorce, support, custody, visitation, Social Security disability (title II), Supplemental Security Income (SSI).

Third year law students who have a Legal Intern certificate are permitted to represent clients in court or before administrative panels. They also can prepare and co-sign pleadings with the supervising attorney.

Use the following space to explain why you want to volunteer, what skills and talents you bring, the areas of law you are interested in and your availability:

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AVAILABILITY: _______________________________________________________________

Thank you for your interest. Return this form to CHLAP:

                                    CLEVELAND HOMELESS LEGAL ASSISTANCE PROGRAM     

                                    LAW STUDENT VOLUNTEER

                                    P. O. BOX 93061

                                    CLEVELAND, OH 44101-5061

                                    216-635-0768

                                    Fax: 216-635-0774

Joan M. Burda

Attorney at Law

Program Director