Name:
Firm name:
Phone:
Mailing address:
City:
State:
Zip:
Year admitted to practice:
Email:
Language Fluencies other than English:
Florida Bar Number:
I prefer cases and projects in this County
I. CASE PARTICIPATION
A. Case Representation: I would like to directly represent clients in the following areas of substantive law:
Consumer Law :
Bankrupcty – Chapter 7
Bankruptcy – Chapter 13
Collections (Repo, Deficiency, Garnishment)
Predatory Lending Practices
Loans/Installment Purchases (other than collection)
Foreclosures
Contracts/Warranties
Community Development:
Non-profit Incorporation
Real Estate Transactions
Corporate Tax
Environmental/Land Use
Elder/Medicaid/SSI:
Wills and Advance Directives
Probate
Medicaid/DD Waivers
Guardianship (Adults)
Social Security/SSI
Employment:
Employment Discrimination
Wage Claims and other FLSA Issues
Drivers License Reinstatement
Seal/Expunge Criminal Records
Workers Compensation
Short/Long Term Disability
Family Law:
Dissolution of Marriage
Adoption
Temporary Relative Custody
Domestic Violence Injunction Hearing
Custody/Visitation
Guardianship (Minor Child)
Child Support
Children and Youth:
Education
Juvenile Delinquency
Mental Health
Emancipation
Ryan White (assisting persons with HIV/AIDS):
General Representation
Housing:
Private Landlord/Tenant
Public Housing
Evictions
Fair Housing Act
Security Deposit Return
Immigration/Naturalization:
Green Card Applications
Naturalization Applications
Deaf/Hard of Hearing:
ADA Compliance
Civil Rights
General Advocacy
B. Expert Resource: I will serve as an expert and contact person for the pro bono attorney representing a JALA client in the areas of law indicated below.
Consumer Law :
Bankrupcty – Chapter 7
Bankruptcy – Chapter 13
Collections (Repo, Deficiency, Garnishment)
Predatory Lending Practices
Loans/Installment Purchases (other than collection)
Foreclosures
Contracts/Warranties
Community Development:
Non-profit Incorporation
Real Estate Transactions
Corporate Tax
Environmental/Land Use
Elder/Medicaid/SSI:
Wills and Advance Directives
Probate
Medicaid/DD Waivers
Guardianship (Adults)
Social Security/SSI
Employment:
Employment Discrimination
Wage Claims and other FLSA Issues
Drivers License Reinstatement
Seal/Expunge Criminal Records
Workers Compensation
Short/Long Term Disability
Family Law:
Dissolution of Marriage
Adoption
Temporary Relative Custody
Domestic Violence Injunction Hearing
Custody/Visitation
Guardianship (Minor Child)
Child Support
Children and Youth:
Education
Juvenile Delinquency
Mental Health
Emancipation
Ryan White (assisting persons with HIV/AIDS):
General Representation
Housing:
Private Landlord/Tenant
Public Housing
Evictions
Fair Housing Act
Security Deposit Return
Immigration/Naturalization:
Green Card Applications
Naturalization Applications
Deaf/Hard of Hearing:
ADA Compliance
Civil Rights
General Advocacy
II. Project Participation
Client Intake:
General Client Intake- Christian Legal Society at the City Rescue Mission, Call CLS to schedule, 391-0091
General Client Intake- Third Tuesday Evening of the Month at The Sulzbacher Center for the Homeless.
Immigrant Client Intake (Immigration Attorneys Preferred) - First Tuesday evening of the Month, 5:00 PM to 7:00 PM, at JALA, 126 W. Adams St.
Informational Clinics (Present information to members of the public in a brief monthly forum):
Bankruptcy
Debt Collection/Credit Reports
Emancipation
Child Support Modification - How to file pro se
Dissolution of Marriage - How to file pro se
Special Projects:
Fair Housing-Get the Word Out-Translate or Proofread Fair Housing Brochures (Bi-lingual skills required).
Ask-A-Lawyer, quarterly public information opportunities in City Council Districts identified by Councilpersons and held in collaboration with The Jacksonville Bar Association.
Northeast Florida Medical Legal partnership: Attorneys interested in assisting patients identified in a medical setting as having legal issues impacting health resolve these issues as part of medical-legal collaborative effort. More information available at www.nfmlp.org .
Wills and Advance Directives services to Military Reservists and Senior Citizens.
Pro Bono for JaxKids – Represent a child in a specific segment of a child’s case in an area of expertise – i.e. adoption, guardianship, dependency, probate, etc. Indicate areas of expertise in Section IA above.
Input Securty Code:
Input the following code below(588111):