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Name
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Firm or practice name
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Bar Membership and Number
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Email address
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Contact information (Line 1: Firm Name; Line 2: Lawyer name; Line 3-5: Address; Line 6: Phone Number; Line 7: Email address; Line 8: Website)
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How did you hear about the Legal Network for Gender Equity?
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In which substantive areas of the law do you specialize?
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Are you interested in providing representation in TIME'S UP Legal Defense Fund cases?
These types of cases may be eligible for financial support through the TIME'S UP Legal Defense Fund.
I am interested in providing representation on this issue
Workplace sexual harassment
Workplace sexual harassment-related retaliation
Military sexual harassment
Defense against defamation claims
In what other types of cases are you willing to provide representation?
Please note that these types of cases will not be eligible for financial support through the TIME'S UP Legal Defense Fund.
I am interested in providing representation on this issue
Sexual harassment/assault of students
Discrimination against pregnant and parenting students
Anti-LGBTQ discrimination in schools
Biased school discipline
Discrimination in school athletics
Workplace pregnancy and breastfeeding discrimination
Pay discrimination
Other workplace sex discrimination
Other military sex discrimination
Discrimination in health care
Employment issues for abortion providers
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Other
If you answered "Other" in the previous question, please expand here.
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What geographic locations are you able to cover?
If your answer is "Anywhere in the United States," you don't need to check other boxes.
I will willing to take on representation in the following ways:
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No
In appropriate circumstances
Pro bono
Reduced fee
On a contingency basis
Do you wish to learn about ways to support the National Women’s Law Center’s advocacy efforts in addition to joining the Legal Network for Gender Equity?
Are you able to communicate with potential clients in languages other than English through language line services or bi-lingual staff? If so, please describe.
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Are you able to provide services to potential clients who require disability related modifications or accommodations? (For example, is your office accessible to those with mobility challenges, or do you have ASL video conferencing available, etc.) If so, please describe.
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The National Women’s Law Center is committed to supporting the growth of the capacity of the private bar to litigate cases on issues important to women and girls. To further these efforts, we would like to hear from you. What resources would you be interested in receiving? (Check all that apply.)
Please note in considering whether to be listed by the National Women’s Law Center as a member of the Legal Network for Gender Equity, you are required to certify as to the following information: I am an attorney in good standing in the following state(s) (Initial here):
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I certify that I have not been subject to discipline or other sanction by any bar or court and that there are no complaints or allegations of misconduct currently pending against me. NOTE: If you have been subject to discipline or any other sanction by a bar or court or if there are any complaints or allegations of misconduct pending against you, please provide a narrative stating the basis of the discipline or other sanction or the complaint or allegations of misconduct and the outcome, if any. (Initial here)
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I certify that I am in compliance with the rules of all jurisdictions in which I am licensed to practice law with respect to malpractice insurance. (Initial here)
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I have determined that being listed is consistent with my applicable state law and professional responsibility rules. I certify that I have determined that I may ethically be listed as part of this Network according to my State’s statutory or regulatory provisions and waive any potential claim against the National Women’s Law Center arising out my failure or mistake in so concluding. (NOTE: Many states and state bars have ethical rules that address a lawyer’s responsibilities in this context. The National Women’s Law Center has not reviewed the rules of each jurisdiction and cannot confirm or verify that the rules of professional responsibility of all jurisdictions would permit lawyers to be listed, and the National Women’s Law Center is not responsible for any lawyer’s decision to be listed that does not comply with his or her state rules.) (Initial here)
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I certify that I will provide an update to NWLC if there are any changes to my responses to these certification questions. (Initial here)
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In checking this box and submitting this form I indicate that I have read and understood the above certifications and am in agreement with the above provisions.
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