GCRTL Lawyers for Life Information Form
This form will be used to develop a list of attorneys who have self-identified as pro-life. Attorneys will have an opportunity to be shared as a legal referral to the general public or to be involved in future GCRTL projects.
Name *
Your answer
Firm or practice name *
Your answer
Practice area(s) *
Your answer
Email *
Your answer
Address *
Your answer
Work Phone Number *
Your answer
Personal Phone Number
Your answer
Level of involvement *
Please check all that apply. You will only be added to the referral list if you check that you would like to be on a referral list.
Required
If you are willing to go on our referral list, what information should we list for your contact information?
Church (if applicable)
Your answer
Professional and Legal affiliations
Your answer
Pro-life Narrative
This information may be used for referral purposes. If it exceeds 100 words it may be edited for length.
Your answer
Advance Directives Clinic
Would you be interested in volunteering at an upcoming legal clinic where members of the community are invited to properly execute life-affirming end-of-life advanced directives? Participating attorneys would have an opportunity to utilize pre-developed documents that could be customized to meet individual needs.
Would you be interested in a leadership position in a local group of pro-life attorneys?
Other Comments
Your answer
Thank you
Thank you for taking the time to contribute to this form. If you have any questions, please free to contact Beth @ GCRTL . org. We are regularly hearing that those individuals within the pro-life movement are looking for professionals who share their values, especially within the legal services area. Please feel free to share this intake form with colleagues who might also be interested in our Lawyers for Life initiative.
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