Print This PageEmail This Page

Public Interest Practicum

Pro Bono Confirmation Form

Confirmation That Pro Bono Work

In Private Law Firm

Satisfies the Public Service Requirement

 

Name
Email
Organization
Address
City     State     Zip
Phone    Fax
Attorney License No:     Issuing State:

By completing this form, I understand and agree that the work completed by under my supervision in satisfaction of the Public Service Requirement will constitute a minimum of fifty hours of supervised uncompensated law-related pro bono or low fee work.

Attorney Supervisor
Date