Court-Based Programs – 2022 Annual Commitment Confirmation

PBLA will draft a Court-Based Programs (CBPs) 2022 Calendar based on the information you provide in this form. Please complete this form by Tuesday, December 7, 2021.

Our goal is to distribute a first draft of the 2022 schedule by December 13, 2021, to give you an opportunity to provide feedback before the end of the year.

1. Please confirm the name of your organization:

2. Please confirm Key Contact person(s) for your organization:

(Provide first and last name, title within your organization, email address, and phone number)

Would you like to add another Key Contact?

Yes
No

Key Contact Person #2

(Provide first and last name, title within your organization, email address, and phone number)

Name

First Last

Title within Organization:

Would you like to add an additional Key Contact?

Yes
No

Key Contact Person #3

(Provide first and last name, title within your organization, email address, and phone number)

Name*

First Last

Title within Organization:*

3. In 2022, which program(s) would your organization would like to participate in?*

Civil Claims Duty Counsel Project (CCDC)
King's Bench Court Assistance Program (QB Amicus)
None

Can you tell us the reason why?*

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Annual Commitment

4. How many shifts is your organization committing to in 2022?
(In case the organization is participating in more than one program, please indicate the maximum number of annual shifts per program)

5. Based on the response to question (4), what is the maximum number of shifts your organization is committing to per month?
(In case the organization is participating in more than one program, please indicate the maximum number of shifts per program)

6. Does your organization prefer to conduct conflict checks on clients’ matters before accepting a file?*

Yes
No

Who is the designated person at your organization to manage the conflict check process? Will they be the same person as the Key Contact?

(Provide first and last name, email address, phone number and title within your organization)

The conflict check contact is the same as the Key Contact.
Another person will be the conflict check contact.
We will provide this information at a later date.

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Court-Based Program Preferences

7. PBLA has a roster of unattached (independent) volunteer lawyers, articling students and volunteer law students that also participate in the CBPs. Does your organization agree to:*

Occasionally share shifts with unattached volunteer lawyers
Occasionally share shifts with unattached articling students
Having an unattached volunteer lawyer/articling/law student shadow your shifts as part of their volunteer onboarding process
Having unattached law students attend your shifts
None of the above. We prefer to not have additional volunteers on our shifts

(Select options that apply to your preferences)

8. Does your organization have any special requests or comments regarding your shift preferences or participation in one or both Court-Based Programs?