Pro Bono and Contract Attorney Interest Form : SCCADVASA

First Name*

Last Name*

Law Firm or Organization*

Street Address*

Street Address Line 2

City*

State*

Zip Code*

Phone Number*

Email*

State Bar License(s):

Authorized to Practice in US District Court of SC:*

Yes
No

I would like to help in the following areas:

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

1. Join the SC Victim Privacy Protection Project*
2. Mentor to staff or pro bono attorneys at domestic violence and sexual assault agencies
3. Speak at an outreach or educational event
4. Serve as a Board member or local champion for my local domestic violence or sexual assault agency
5. Other

* 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:

Immigrants
Limited English proficient - deaf, blind & hard of hearing
Limited English proficient – foreign language speakers
People with disabilities
LGBTQ
Elderly
Native Americans
Veterans or active military

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

Catholic Charities Immigration Services (Mt. Pleasant, Greenville, Hilton Head)
Charleston Legal Access
Lowcountry Legal Volunteers
SC Bar Pro Bono Program
SC Legal Services
SC Victim Assistance Network
Indigenous Women’s Alliance of South Carolina