128 Union Street Macdonald Hall
                                                                                                          Kingston, Ontario K7L 3N6
                                                                                                             613 533 6000 ext. 74635

                                          UPPER YEAR STUDENT APPLICATION FORM

Please return this form by dropping it off at our office in Macdonald Hall, Room 104 (in the lower level, go down the hall
                               between the lockers and the lounge, and it’s on your left).
                          APPLICATIONS ARE DUE TUESDAY, SEPTEMBER 11, 2012 AT 4:30 PM.

Pro Bono Students Canada (PBSC) is a national pro bono organization with chapters in every law school in Canada. Each
year, PBSC provides 1400-1500 law students with volunteer opportunities to develop their legal skills by serving up to
400 organizations from coast to coast. PBSC volunteers increase access to justice in Canada by providing high quality,
professional legal assistance to vulnerable populations and individuals. By exposing law students to the value of pro
bono service, PBSC aims to encourage the next generation of lawyers to make pro bono service an everyday part of their


Name:     ___________________________________________________ Year in Law School: ________________

Address: ___________________________________________________________________________________

Phone: ___________________________________ Email:__________________________________________

Pre-Law Degree(s) or Specialization: ____________________________________________________________


Please rank your top 5 projects, from 1 to 5, with 1 being the project of most interest. Project descriptions are posted
outside of the PBSC office, room 104 of Macdonald Hall.

    1) ____________________________________________________________________________________                                  □

    2) ____________________________________________________________________________________                                  □

    3) ____________________________________________________________________________________                                  □

    4) ____________________________________________________________________________________                                  □

    5) ____________________________________________________________________________________                                  □

Please check □ on any project for which you wish to be considered for the position of Project Lead

(The role of the Project lead is to serve as the main contact person between the student team and other stakeholders (program
coordinators, organization and lawyer supervisor). They will provide leadership and ensure that the project’s mandate is fulfilled. )
In a brief paragraph, please describe the specific experiences, passions and skills you would bring to PBSC in general
and/or to any of your preferred projects specifically.

In a few sentences, tell us a little bit about why you think Pro Bono is important.


Considering all your other commitments (school, other volunteer work, part-time job, etc), are you willing to devote 3-5
hours per week to a PBSC placement (excluding the exam sessions)?

[   ] YES          [    ] NO

By signing the Student Application Form, you commit to being available 3 to 5 hours a week for your PBSC Placement, to
respecting PBSC policies and procedure, to attending the mandatory training and to completing the Final Evaluation
Form at the end of the school year.

Signature :                                                                              Date :

Privacy Notice: Pro Bono Students Canada (PBSC) respects your privacy. The information on this form is collected and used for the purpose of
administering PBSC, which may include the operation and development of PBSC programs through the National and local offices, communication
with and reporting to stakeholders and program publicity. PBSC will protect the info in accordance with any and all applicable privacy legislation.
Any questions can be directed to PBSC Coordinator.

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