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FLAC Clinic Volunteer Advisor Application Form
Company
City
State/Province
Occupation:
--None--
Barrister
Solicitor
In-house Counsel
Yes
No
Trainee Solicitor
Other
Professional standing - screening:
--None--
Yes
No
Current Practicing Cert:
--None--
Yes
No
Availability to Volunteer-Time:
--None--
Yes
No
CIC:
--None--
1. Bantry CIC
2. Blackpool CIC
3. Charleville CIC
4. Cork City CIC
5. Killarney CIC
6. Listowel CIC
7. Mallow CIC
8. Tralee CIC
9. Youghal CIC
10. Clonmel CIC
11. Nenagh CIC
12. Thurles CIC
13. Tipperary Town CIC
14. Waterford CIC
15. Arklow CIC
16. Blessington CIC
17. Bray CIC
18. Portlaoise CIC
19. Tullamore CIC
20. Wexford CIC
21. Wicklow Town CIC
22. Athlone CIC
23. Athy CIC
24. Drogheda
25. Dundalk CIC
26. Longford CIC
27. Maynooth CIC
28. Mullingar CIC
29. Naas CIC
30. Navan CIC
31. Newbridge CIC
32. Trim CIC
33. Galway CIC
34. Ballina CIC
35. Castlebar CIC
36. Boyle CIC
37. Roscommon CIC
38. Cavan CIC
39. Leitrim CIC
40. Monaghan CIC
41. Sligo CIC
42. Ballyfermot CIC
43. Carmelite CIC
44. Clondalkin CIC
45. Crumlin CIC
46. Dun Laoghaire CIC
47. Dundrum CIC
48. Liberties CIC
49. Lucan CIC
50. Pearse Street
51. Rathmines CIC
52. SICCDA CIC
53. Tallaght CIC
54. Balbriggan CIC
55. Ballymun CIC
56. Blanchardstown CIC
57. Cabra CIC
58. Dublin City (O’Connell Street) CIC
59. Dublin NE (Sean McDermott Street) CIC
60. Dublin NW (North King Street) CIC
61. Finglas CIC
62. Raheny (KARE) CIC
63. Swords CIC
64. Remote Clinic
Last Name
First Name
Mobile
Email
Street
Home Area/Town:
Home City:
Legal Qualifications:
Date of profession admission:
Your most recent practice experience:
I currently practice/have experience:
--None--
Family Law
Employment Law
Immigration Law
I am up to date with current legislation:
--None--
Family Law
Employment Law
Immigration Law
Details of your experience in the area:
I am interested in volunteering in::
--None--
Face : Face Clinics Only
Remote (Phone/Video) Clinics Only
Both of the above
MFG Employment Law Clinic
Other
I am willing to use my own mobile phone:
I have free calls:
Days you are available to volunteer:
Monday
Tuesday
Wednesday
Thursday
Friday
How often you are able to volunteer:
Weekly
Bi-weekly
Monthly
Why want to volunteer:
Areas of legal experience:
Consumer
Credit & Debt
Criminal
Discrimination
Employment
Family
Housing/ Landlord & Tenant
Immigration/Refugee
Legal representation issue
Negligence/ Personal Injury
Neighbour Dispute
Property/ Interest in Land
Social Welfare
Wills/Probate
Other
Other areas of legal experience:
I have read the FLAC Volunteer Guideline:
--None--
Yes
No
FLAC may need to share my email-phone:
--None--
Yes
No
I declare info in form accurate-true:
--None--
Yes
No
Heard about volunteering:
--None--
Law Society advertisement
FLAC website
Newspaper article
Previous involvement with FLAC
Volunteering Ireland website
College / university
Through a colleague / friend
Other website
Other organisation
Heard about volunteering other:
Would like to receive FLAC e-newsletter:
--None--
Yes
No
Would like to be invited to FLAC events?:
--None--
Yes
No