Pro Bono and Contract Attorney Interest Form

Street Address

Street Address Line 2



Zip Code

Phone Number


State Bar License(s): 

Authorized to Practice in US District Court of SC: 



*I would like to help in the following areas:

Services to Domestic Violence & Sexual Assault Organizations in the following areas:

* provide direct legal representation to one of South Carolina’s 22 domestic violence and sexual assault agencies in responding to subpoenas or other third-party requests for confidential victim records.

If you answered yes to number 2, please indicate the area(s) of law in which you would like to be a mentor below.

If you answered yes to number 3, please indicate which topics below. 

If you answered yes to number 4 and have a preferred agency, please indicate the preferred agency below.

If you answered yes to number 5, please elaborate below.



Services to Victims of Domestic Violence & Sexual Assault in the following areas of law:

If other, please elaborate:



I have a special interest or expertise in assisting victims in the following communities with specialized needs: 

List the South Carolina counties in which you are willing to volunteer:



 I am interested in being connected to the following SCCADVASA Partners to learn more about their pro bono and contract attorney opportunities to serve victims of domestic violence & sexual assault