Volunteer Agreement

VOLUNTEER REGISTRATION FORM

Part I:    Volunteer Information:

Name: _________________________________________________________________________

Firm/Agency/School: _____________________________________________________________

 

Address: _______________________________________________________________________

 

City: _______________________ State: _________________ Zip: _________________________

 

Phone: ____________________________ E-mail: ______________________________________

 

Chose those that apply:

 

I am a member of the State Bar of California and have no disciplinary actions against me.

Bar #  ___________________  Practice Areas: __________________________________

 

I am a CFP® and have no disciplinary actions against me. CFP® # ____________________

 

I am a CPA and have no disciplinary actions against me.  CPA # _____________________

 

I am not an attorney, CFP®, or CPA.  My professional status or occupation is: ________________________________________________________________________

 

Other than English, I speak the following languages.  _____________________________

 

Part II:   Criminal Background:

 

Have you ever been investigated or convicted of committing a misdemeanor or felony?

YES    NO  (Please Circle).   If yes, please explain ______________________________________________ __________________________________________________________________________________________________________________________________________________________________________

 

Part III:  Conditions of Volunteer Participation:

 

I understand and agree that my services will be rendered free of any charge to referred clients, unless otherwise agreed to by the board of the Professional Alliance for Children.   I agree to hold all client and case matters in the strictest confidence and shall adhere to all policies which serve to protect the attorney-client relationship.  Working with other volunteer professionals, as permitted by the Professional Rules of Conduct and other applicable law, is encouraged.

 

Signature:  ______________________________   Date: __________________________