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Last Name
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City
State
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Note: This number will not be given to clients.
Are you a qualified family law neutral?
Do you take Collaborative Law cases?
Regularly practice in which counties?
If "Other", please provide below
Are you fluent in a language other than English (including ASL)?
Are you willing to meet clients at a location other than your office?
Are you willing to provide an interpreter for client meetings?
Are you licensed in another state?
Are you admitted to a tribal court?
Do you have experience or training in:
Check the box next to the item for "yes"
Referral Information

Please be specific so we can best match clients and attorneys when providing services and referrals.

Family Law
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Employment Law
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Government Benefits
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Juvenile Law
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Discrimination/Civil Rights
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Civil Litigation
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Elder Law
Tax Law
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Immigration Law
Check all that apply
Credit and Consumer Law
Check all that apply
Criminal Law
Check all that apply
Real Estate Law
Check all that apply
Testamentary Issues
Check all that apply

Attorney Agreement
I understand that Tubman’s Vision is: “Thriving people, healthy relationships, peaceful communities.” Our Mission is: “To advance opportunities for change so that every person can experience safety, hope, and healing.” I agree to provide services to Tubman clients in accordance with that mission and in a respectful, empowering manner.

Licensing and Legal Ethics
I am currently authorized to practice law in Minnesota and in other states indicated on the first page of the attorney application. I have not been publicly disciplined by the Minnesota Supreme Court or the Lawyers Board of Professional Responsibility or similar boards in other states, except as follows:​

I have the legal knowledge, skill, thoroughness and preparation reasonably necessary to represent clients (in accordance with Rule 1.1 of the Minnesota Rules of Professional Conduct) in the areas I have indicated on the volunteer and referral information sheet.

Tubman Materials
I acknowledge that outlines, handouts, brochures and other materials developed by Tubman staff in connection with Tubman legal information sessions, Law Clinic, Self-Represented Legal Clinic, and other services are the property of Tubman. I agree that I will not use those materials (or substantially similar materials) except in connection with Tubman services.

Services of Volunteer Attorneys
I will honor my volunteer commitments by providing services when scheduled, except in emergencies. I will give the Legal Services staff a minimum of 48 hours notice of cancellation when schedule changes are necessary. It is my responsibility to keep the Legal Services staff informed of any problems with my volunteer commitment or duties.

I understand that:
A commitment to low-income clients receiving fair and competent legal representation is a prerequisite for participation in the Legal Services Program. I have such a commitment.

I may not represent clients seen in the Law Clinic unless I take their case pro bono. I cannot solicit clients from the Law Clinic setting.

Services of Referral Attorneys
As a referral attorney with Tubman Legal Services, I will provide legal representation to clients referred to me by Tubman and will commit to reduce my fee, offer a discount, use a sliding fee scale, or use other means to make legal services accessible to women. I currently expect to do that as follows:

Services of Referral Attorneys
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See below to describe or to provide the $ per hour.
Only provide $ per hour if you checked the box above
Only describe if you checked the box above
Only describe if you checked the box above

Because we understand that many attorneys work out different fee arrangements with clients based on individual client circumstances and the attorney’s pro bono and reduced-fee caseload, the above information is for use by Legal Services staff and is not provided to clients.

Reference 1
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Last Name
Phone Number
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Reference 2
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Last Name
Phone Number
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To learn more about the Pro Bono Safety Project, contact Katy Drahos, Legal Services Coordinator, at (612) 870-2424 or safetyproject@tubman.org. For all other volunteer attorney programs, contact Shiloh Bute, Staff Attorney, at (612) 870-2410 or sbute@tubman.org.

Family Law

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