Non-Lawyer Professionals Volunteer Form

Thank you for your interest in volunteering with Philadelphia VIP!

The attainment of equal justice under law requires a strong partnership between the legal community and the business and professional community. Thank you for volunteering your time and efforts to be a part of this partnership!

Personal Information

Volunteer Name: *

Employer: *

Street Address:

City:

State:

Zip:

Phone: *

E-mail: *

Employer Website:

Professional Information

Profession:

If other, please specify:

Does your profession require a license?: *

Yes

If yes, please provide license number:

If yes, is it currently active?:

Do you have professional liability insurance?: *

Yes

If yes, does it cover your activities as a volunteer?:

Yes

Substantive Areas of Interest:

Foreign Language Proficiency:

If other, state language(s):

Availability

I am available to provide volunteer services on an emergency / short-notice basis:

Yes

Non-Lawyer Professionals Volunteer Form

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