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DATE SAFER & SMARTER
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GET HELP
WHAT TO EXPECT
OUR SERVICES
HELPING LOVED ONES
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HELP FOR CHILDREN
HELP FOR PETS
CLIENT RESOURCES
CLIENT RESOURCES
MEDICAL RESOURCES
LEGAL RESOURCES
SPIRITUAL CARE
HOLISTIC HEALING ONLINE
DATE SAFER & SMARTER
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DIGITAL SAFETY
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Volunteer Attorney Application
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Contact Information
First Name
*
Middle Name
Last Name
*
Alias or Maiden Name
Date of Birth
*
Date Format: MM slash DD slash YYYY
Race
Gender
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darrussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Home Phone
Cell Phone
Email
Experience
Firm
Year Admitted to Practice Law
Bar Number
In what area(s) of law can you provide assistance?
*
Victim Protective Order
Divorce/Separation
Child Custody, Paternity, Visitation
Modify Existing Custody/Visitation Order
Name Change
Guardianship
Power of Attorney
Immigration or Naturalization
Lease, Eviction, Landlord Tenant
Do you speak a language other than English?
*
Yes
No
If you speak multiple languages, please list language and proficiency:
Are you in school?
*
Yes
No
What law school do you attend?
What is your anticipated year of graduation?
What date do you expect to sit for the Bar?
Have you taken DV Law or a related course?
Yes
No
Are you a Licensed Legal Intern (LLI) in Oklahoma?
Yes
No
We have to ask...
Have you ever been convicted of or arrested for a criminal offense, other than a minor traffic violation?
*
Yes
No
If you have been arrested for or convicted of a criminal offense, please describe the type of offense, date, law enforcement agency, and current status.
Do you have access to a working vehicle?
Yes
No
Do you have car insurance?
Yes
No
Do you have a valid driver's license?
Yes
No
Volunteer Information
Days of the week you prefer to volunteer
*
Monday
Tuesday
Wednesday
Thursday
Friday
Time of day you prefer to volunteer
*
Mornings
Afternoons
Evenings (Our operating hours are M-F, 8-5; Extended hours til 7p on Tuesdays; We have some evening activities such as Open House events)
Please describe why you want to volunteer at Palomar: Oklahoma City's Family Justice Center.
*
Consent
*
By checking this box, I hereby certify that all statements made in this application are true, and I understand that any false statement of material facts herein may cause forfeiture on my part of all rights to volunteer at Palomar: Oklahoma City's Family Justice Center. I understand that if selected, I will be required to consent to a full background check through the Oklahoma State Bureau of Investigation.
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