Clinic in a Box Forms

Clinic in Box Forms

Most of the forms are available in both Word and PDF format and serve as a guideline for starting a pro bono clinic. You may decide to modify the forms to meet the needs of your clinic.

The ATJ Commission requests that every clinic provider submit the Pro Bono Initiative Coordinator Summary and the Client Satisfaction Surveys after each clinic.  You may submit the forms via email to or via fax to 615-741-6285.  You can collect the information needed to fill out the Coordinator Survey by any means you wish.  An optional Volunteer Attorney Survey is provided as one way to collect this information. 

You can design your clinic so clients can seek advice on any legal issue or you can choose to conduct clinics on a limited issue or issues. If you limit the issues, you should consult with an attorney who is an expert in that issue to develop forms for volunteer attorneys to use at your clinic. The Supreme Court and the Administrative Office of the Courts have forms that you can use for certain types of divorces, the Parenting Plan, and Orders of Protection.

Outline for Establishing a Legal Clinic  PDF
Pro Bono Clinic in a Box Forms Instructions  PDF
Outreach Email to Attorneys Word PDF
Outreach Flyer to Clients Word PDF
Attorney Volunteer Sign in Sheet Word PDF
Non-Attorney Volunteer Sign in Sheet Word PDF
Instructions for Volunteers Word PDF
Confidentiality Agreement for Non-Attorney Volunteers Word PDF
Confidentiality & Good Standing Agreement for Attorney VolunteersWordPDF
Instructions for Clients Word PDF
Client Sign in Sheet Word PDF
Client Intake Form Word PDF
Client Participation Agreement Word PDF
Attorney Summary Form Word PDF
Client Satisfaction Survey Word PDF
Pro Bono Initiative Coordinator Summary Word PDF
Optional Volunteer Attorney Survey Word PDF
Sample Thank You Email to Attorneys Word PDF
How to apply for CLE credit  PDF