Volunteer Application

Personal Information

First Name *

Last Name *

Firm Information

Name of Firm

Type of Practice

Recovery/Volunteer

Are you in recovery
(mental health / addiction)?

Number of Years

Issue

List any prior personal experience, skills and qualifications in this area

Other Activities (Things that help your sobriety, mental health or stress management)

Former LAP Participant?

If yes, was your participation (Check all that apply)

Former

Current

New

Another Jurisdiction

Have you ever served on the Lawyer Assistance Committee?

What would be an ideal participation match

When are you available? (Check all that apply)

Weekday Mornings

Weekday Afternoons

Weekday Evenings

Weekend Mornings

Weekend Afternoons

Weekend Evenings

In-town

Near my home

Outreach and Education

Preferred Venues (select all that apply)

Law Schools

Any

Specific Schools (list below)

CLE (DC Bar/Law Firms/Agencies)

Voluntary Bar (list below)

Any

Specific Schools (list below)

Other