KBA Pro Bono Volunteer Form

KBA PRO BONO VOLUNTEER FORM

Join your colleagues in the Kansas Bar Association in providing pro bono legal services to low income Kansans. In 2008, we have set a goal to double the number of Kansas families who receive pro bono services – from 250 to 500. Your help is needed in meeting this goal. Please indicate below the types of cases that you would consider accepting for pro bono representation. No potential clients will be given your name, without your specific approval. All potential clients will be screened for financial eligibility through Kansas Legal Services. Many of the cases referred will be cases that KLS cannot accept, due to conflict or other barriers. Clients using this program understand that the attorney has agreed to provide services at no cost for the referred case only. Clients also understand that they may be required to pay filing fees, witness fees, etc. You should accept the case with no expectation of payment for your time or office expenses. KLS may be able to help with extraordinary litigation expenses, when the interests of justice require it.

A. Biographical Information

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Full name (first, middle initial, last):

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Supreme Court number:

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Firm/Company/Agency name:

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Street address:

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P.O. Box

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City, State, and Zip+4:

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County:

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E-mail address:

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Telephone number: ****Fax number:

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B. Volunteer Information

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I am a lawyer in good standing with the Kansas Supreme Court.

I have professional liability insurance with (name of company)

Expiration Date

I can take pro bono cases per year.

I can serve in the following counties:

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C. Case Types

Select all that apply:

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Pro bono is a new area of law for me; please match me to a mentor.

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Kansas Bar Association
1200 S.W. Harrison St., Topeka, KS 66612-1806
Phone: (785) 234-5696 | Fax: (785) 234-3813, E-mail: info@ksbar.org