Volunteer Enrollment Form - Philadelphia VIP

Your Contact Information

Name*

First Last

Firm/Organization Name*

Email*

Business Phone*

Personal Phone

Mailing Address*

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

Pronouns

I would like to receive VIP's monthly e-newsletter, which includes a list of available cases, upcoming events, and news about special projects.*

Volunteer Type*

PA Attorney ID Number*

Please indicate all case types that you are interested in handling:*

I am interested in taking small business and/or nonprofit cases.*

I have experience helping small businesses and nonprofits with:*

Is an attorney licensed in Pennsylvania able to supervise you on your case?*

Please indicate all case types that you and your supervising attorney are interested in handling:*

I am interested in taking small business and/or nonprofit cases.*

I have experience helping small businesses and nonprofits with:*

Do you speak a foreign language?*

How Many Foreign Languages Do You Speak?*

Foreign Language 1*

Proficiency Level*

In this language, I can...*

Foreign Language 2*

Proficiency Level*

In this language, I can...*

Foreign Language 3*

Proficiency Level*

In this language, I can...*

How did you hear about Philadelphia VIP?

If “other,” please describe:*