Application

LEGAL ASSISTANCE CENTER

VOLUNTEER INFORMATION FORM

(Please print)

Name: _____________________________________________

Phone: (home) _________________ (work) ________________

E-mail: _________________

Best hours to contact you:

_____________________________________________________________________

Address: _____________________________________________________________________

_____________________________________________________________________

From where did you hear about this volunteer opportunity?

_____________________________________________________________________

Please indicate your current status:

____ Retired ____ Homemaker ____Student ___ Currently Employed ___ Other

____Employed ___ part-time ___ full time

Your education background: ____ High School graduate ____ Some college

____ College degree ____ Post-grad degree

Have you ever been convicted of a crime? ____ Yes ____No

If yes, what were you convicted of? _________________________________________

Have you ever worked for an attorney or the court system? ____ Yes ____ No

If so, whom? ___________________________________________________________

Have you ever hired an attorney (for your own legal matter or that of a friend or relative)?

____ Yes ____ No

What interests you about the LAC position?

_____________________________________________________________________

_____________________________________________________________________

What special skills might you bring to the position?

_____________________________________________________________________

Have you used a computer? ___Yes ___No

If yes, which software have you used?

_____________________________________________________________________

What concerns might you have about volunteering with us?

_____________________________________________________________________

Would you need any special accommodation (for a physical disability) in order to work in the

LAC office? ______________________________________________________

The LAC shifts are listed below. Please indicate which days and times you would be

available:

_____ 8:30 a.m. - 12:30 p.m. _____12:30 p.m. - 4:30 p.m.

____Monday ____Tuesday ____Wednesday ____Thursday ____Friday

____Yes ____No

What transportation will you use to arrive at the LAC office?

(Free parking may be available)

____ Own car ____ Friend/relative's car ____ Bus Other_____________________

References: Please provide the names and phone numbers of three persons we may contact who are not related to you: ______________________________________________________

______________________________________________________________________________

__________________________________________________________________________

Thank you!

Please return this form to:

Phone: 616-632-6000 or 616-632-6014

FAX: 616-632-6011