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ALRP Panel Online Application

Please review the Application Materials, including the Fee Protocol and the Attorney Rules, before completing the online application.

If you have questions, please contact ALRP Volunteer Coordinator Danica Hobza at danicah@alrp.org or (415) 701-1200 x303.

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Contact Information

First Name *

Last Name *

Law Office or Firm

Mailing Address *

City *

Zip / Post Code *

Work Phone *

Work Fax

Work Email *

Home Phone

State Bar Number *

Law School *

Graduation Year *

Personal Information

What are your gender and pronoun preferences?

ALRP is committed to respecting the gender identities of our volunteers.

What is your ethnicity or race?

In order to broaden its community base and effectiveness, ALRP is committed to recruiting volunteers of many ethnic backgrounds.

What languages other than English are spoken fluently by you and/or at your office?

(including sign languages)

Does your firm have a policy to accept only indigent clients for pro bono work?

License to Practice Law

Are you licensed to practice law in the State of California? *

Have you ever been or are you currently being sued for malpractice? *

Have you ever been suspended from practice or disbarred in any state? *

Have you ever had or are there currently pending any state bar disciplinary proceedings against you? *

Have you ever been disciplined, suspended or removed from any other Lawyer Referral Panel? *

Serving ALRP Clients

Describe any expertise or limitations you have in the selected legal areas or any additional areas of law you practice

Note: In order to accept cases, you must already have handled two cases in that area of law or have attended an ALRP training. By submitting this form, you affirm that this is true.

Rules & Fee Protocol

I have read and am familiar with the AIDS Legal Referral Panel's Rules and Fee Protocol and I agree to abide by them. *

If you are a human and are seeing this field, please leave it blank.

Are you human? What is three times three? (Use digits) *

If you are a human and are seeing this field, please leave it blank.

Having issues submitting this form?

Please email Danica Hobza at danicah@alrp.org or (415) 701-1200 x303.

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ALRP Panel Online Application

Contact Information

Personal Information

License to Practice Law

Serving ALRP Clients

Rules & Fee Protocol

Events

ALRP voices