09/23/17 Eligibility Screening Drive Attorney Registration Form
Please fill out this form to be considered for NYS Senator Marisol Alcantara, Hispanic Federation and NMCIR's Comprehensive Immigration Eligibility Screening Drive on Saturday, September 23, at M.S. 366 Washington Heights Academy (202 Sherman Avenue, New York, NY 10034). Please see shift information below; there are half-day opportunities available. Speaking Spanish is not required; interpretation services can be provided upon request.

Pro-bono attorneys MUST have at least 2 years of experience in family-related immigration law.

Email address *
Name *
Your answer
Email *
Your answer
Phone number *
Your answer
Organization/Firm Affiliation *
Your answer
NYS Attorney Registration Number. (If you are admitted to any other bar, please name the state and bar number.) *
Your answer
Do you speak Spanish fluently? If not, we will provide an interpreter. *
Do you have at least 2 years of experience in family-related immigration law? *
Please check your availability. (Check as many as needed.) *
Is there any relevant information you would like to share with us?
Your answer
Thank you for your submission!
We will email those selected at the electronic address provided.
Never submit passwords through Google Forms.
This form was created inside of Northern Manhattan Coalition for Immigrant Rights. Report Abuse - Terms of Service