Legal Aid/Assistance Intake Referral Form

Payroll Specialist - Atlanta Hawks & Philips Arena (Atlanta, GA)

RESPONSIBILITIES/DUTIES: • Ensure accurate processing and recording of Atlanta Hawks & Philips Arena payroll for approximately 214 full-time and 617 part-time employees • Collect commission reports and other pay data for processing, including new hire and part-time employee data • Coordinate with Human Resources regarding personnel changes (e.g. short-te […]

Strategy Research Intern - Houston Rockets (Houston, TX)

DEPARTMENT: Strategy TYPE: Internship (20-30 Hours) REPORTS TO : Strategy Manager START DATE: June 4, 2012 **Non-Paid/Course Credit Only** RESPONSIBILITIES include but are not limited to: • Coordinating all market research efforts for the Houston Rockets and Toyota Center • Organizing survey incentive and database building efforts • Pulling and analyzing ma […]

Ticketing Specialist - Minnesota Timberwolves (Minneapolis, MN)

SUMMARY This position is responsible for processes and implementation of Minnesota Timberwolves and Minnesota Lynx season, group and individual game tickets. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Ticketing. 1.1. Customer Service. Execute process that allow the organization to consistently exceed consumer expectations, provide personal service as it relate […]

Chief Strategy Officer - Houston Rockets (Houston, Tx)

The Houston Rockets are currently seeking a Chief Strategy Officer. This senior management position, reporting to the CEO, is responsible for working on various strategic projects and ongoing operational activities that help the organization optimize financial performance (e.g. profitable business growth), guide the strategic direction of the organization a […]

Staff Accountant - Oklahoma City Thunder (Oklahoma City, OK)

The Staff Accountant is a valued member of this tight-knit Accounting Department. The Staff Accountant will work closely with the Assistant Controller providing day-to-day maintenance of a complete and accurate general ledger, as well as interfacing with multiple other departments to insure accurate reporting of financial information. Essential Duties and Re […]

WNBA Silver Stars Business Operations Internship - Spurs Sports & Entertainment (San Antonio, TX)

DEPARTMENT NAME: San Antonio Silver Stars JOB TITLE: WNBA Business Operations Internship REPORTS TO: Director of Business Operations/Manager of Business Operations GENERAL JOB DESCRIPTION: The intern will be responsible for assisting the Manager of Business Operations with day to day tasks as well as participate in off site events. Candidates must have a fle […]

Special Events Intern - Orlando Magic (orlando, fl)

JOB SUMMARY Assist the Special Events Manager in executing all aspects of special events for the organization. JOB RELATIONSHIPS • Reports To: Special Events Manager • Indirectly Reports To: No • Hiring Authority: No GAME/EVENT RESPONSIBILITIES • Game night responsibilities Yes: • Approximate number of games worked per season: 1-20 • Event night responsibili […]

Account Services Representative - Los Angeles Clippers (Los Angeles, CA)

Position Summary: The primary responsibility of an Account Services Representative is the retention and satisfaction of Clippers season ticket holders. This is accomplished through frequent two-way communication (touchpoints) with assigned accounts in person, over the phone and through e-mail. All representatives will be required to perform a minimum number […]

Off Site Events Supervisor - Miller Motorsports Park (Tooele, UT)

The Miller Motorsports Park has an immediate full time opening for an Off Site Events Supervisor. This individual will be responsible for the setup and staffiing of approximately 12 events per year. Will require some travel and a lot of weekends. Specific duties and responsibilities will include: Coordination of all off site events including the reserving ve […]

Video Photographer / Editor - Oklahoma City Thunder (Oklahoma City, OK)

The Video Photographer / Editor is responsible for shoots and edits for a wide variety of assigned events including, but not limited to, shoot-arounds, community events, and in-arena footage. Essential Duties and Responsibilities: • Operate team-owned camera at special events and work on features for TV, arena video and website • Work as a “one person band” […]

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MTV Jobs

MANAGER, MOBILE

Manager, Mobile – New York Nickelodeon Games Group Overall Responsibilities • Partner management of 3rd party vendors to ensure that process and delivery specific to apps are in line. Hans on relationship building, reporting, facilitating and data analysis. • Supports Vice President, Games in execution of business goals, targets and long-range plans and […]

PRODUCT MANAGER, MOBILE

Mobile Product Manager – Nickelodeon Games Group – San Francisco MTV Networks is looking for a Mobile Product Manager to drive the development of new and existing mobile products for the Nickelodeon Games Group. As part of the Mobile Business Group, the Mobile Product Manager will work closely with mobile developers, game producers digital analysts and marke […]

Manager, Consumer Marketing

The manager will directly oversee all events, promotions and grassroots efforts for the Logo network as well as individual show launches. The manager will be a key strategist in the marketing team and is responsible for maximizing minimal budgets with inventive marketing solutions. The ideal candidate will be a self-motivated and hardworking individual who […]

RELEASE ENGINEER, MOBILE

The Nickelodeon Games Group is currently seeking a talented Build / Release Engineer to join our team to help expand our industry leading casual game brands. This candidate will be responsible for developing and implementing build and release automation for complex, multi-tier, distributed applications throughout the full lifecycle of the software; maintain […]

Managing Producer/Product Director, MQ

Nickelodeon is seeking a Managing Producer/Product Director to lead the fastest growing virtual world and MMO for kids/tweens. This position is responsible for growing the audience and business to new levels, galvanize the live team and operations as well as directing product development. Responsibilities: Chief product owner Carries the brand vision and man […]

Director, On Air Promotions

Logo is seeking a Director, On Air Promotions to lead the development of conceptual treatments, to write and produce promos, and branded content as part of the Logo Creative team. Specific responsibilities include: Develop break-through creative that will drive Logo Awareness, Rating and Image Lead On-Air Creative projects from initial green-lighting of th […]

VP TALENT, World's Best Booker

We are seeking an experienced Talent Development professional who can use their past experience with agents, celebrities, managers etc overseeing talent deals, as well as handle talent relations and talent management issues. This VP will also represent the dept in meetings and interaction with the Presidents of the 3 networks within Viacom Entertainment Grou […]

SAP BI/BW MANAGER

The SAP BI/BW manager reports to Sr. Director, BI and Application Development. The resource is responsible for the overall design and performance of the SAP BW/BI reporting solution and ensures that it supports Business Intelligence and reporting initiatives for VMN Corporate Finance and beyond. This person is involved in all activities relating to SAP BI de […]

Vice President, VMN Business & Legal Affairs

POSITION OVERVIEW : The Vice President for MTV Business & Legal Affairs will have primary responsibilities relating to scripted, reality, documentary and animation development and production matters. ESSENTIAL DUTIES & RESPONSIBILITIES: Structure, draft and negotiate, with minimal supervision, a high volume of development and production agreements, i […]

SALES SERVICE EXECUTIVE

MTV Networks is currently conducting a search for a Sales Service Executive (Ad Sales Assistant), based in Santa Monica our West Coast Regional HQ. Responsibilities include but are not limited to providing administrative and logistical support for the Ad Sales team, Music and Entertainment. RESPONSIBILITIES: •Build and create sales strategies and proposals […]

If you or someone that you know needs Legal Aid or Assistance, PLEASE fill out the form below so that we can determine the best way to assist them.

This form is provided with the understanding that A&MWF is not rendering legal, accounting, or other professional advice or service. Professional advice on specific issues should be sought from an accountant, lawyer, or other professional.

LEGAL AID INTAKE REFERRAL FORM

Please note that this information has been gathered to help us provide Your Client with a service that will meet thier needs. The information will be treated in STRICT CONFIDENCE.

Name of Applicant(required)

Your Email Address (required)

What is the Subject of your inquiry

How can we help you

Best Contact Information For Applicant(required)

Current Address of Applicant

Phone Number

Age

Date of Birth

Sex

Married, Family. List your dependants, include spouse/defacto/partner/children

Given Name of Applicant

Family Name of Applicant

Does Applicant Use or Has Used Other Names? Please give other name(s)

Is The Aid For A Business, Corporation, Group or Organization

For What Type of Problem Do You Need Legal Aid/Assistance? Family, Criminal, Civil, General

Is The Applicant/Client in Custody or Detention?

What Is The Applicant/Client’s Prisoner Identification Number

When Is The Next Court Date (if you know)?

Have You Applied for Legal Aid/Assistance Before?

Is This Application Being Made for Someone Else?

Name of Referring Person

Contact Information of Referring Person

Why have You Refered Your Client for Legal Aid/Assistance

Where is Your Client Currently Residing

How long Have They Resided There

Are They Moving Out, Why?

Has Your Client Been Registered with Local Social Services, Medical, Housing Authorities? Which Ones?

Do You Speak a Language Other than English at Home?

Were You Born Overseas?

Are You A United States Citizen?

HEALTH HISTORY

Your Client’s Doctor’s Contact Information

Are you aware of any serious physical health problem your client may currently be suffering from or have suffered from in the past? If yes please elaborate.

Has Your Client Ever Suffered from Any Psychiatric illness? If yes please elaborate.

Is Your Client Living with Any Psychiatric illness at present? If yes, please elaborate.

Is Your Client in Contact with Any Support Agency Concerned with Psychiatric illness or with Any Psychiatric Unit? If yes, please give details.

Is Your Client on Any Type of Medication? If yes, please give details.

Does Your Client have Any Learning Difficulties? If yes, please elaborate.

Have these difficulties been formally identified through the health board disability services? If Yes please elaborate

PATTERNS OF BEHAVIOUR

Has Your Client Ever Been the Victim of Violence? If yes, please elaborate.

Has Your Client Ever Had an Addiction Problem? If yes, what form(s) has this taken?

Is Your Client Currently Drinking, Using Unprescribed Drugs, or Gambling? If yes, please elaborate.

Has Your Client had Contact with Any Addiction Support Service? If yes, please elaborate.

Has Your Client Had a Criminal Conviction? If yes, please elaborate.

Has Your Client Had Any Involvement with the Probation Service? If yes, please elaborate.

Has Your Client Ever Attempted to Inflict Serious Self Harm? If yes, please elaborate.

Does Your Client Have Any Behavioural Problems? If yes, please elaborate.

Is Your Client Receiving Any Support / Assistance from Any Services for These Problems? If yes, please elaborate.

CLIENT’S FINANCIAL SITUATION

What is Your Cient's Main Source of Subsistence? Employment, Unemployment Assistance/Benefit, Sickness Benefit, Disability Allowance, Pension, Job Training Allowance, Grant, Other

If Your Client is On a Pension or Grant or Another Source of Subsistence, please state It’s Source, the Amount, Method and When It’s Paid.

What is The Main Source of Income of Anyone Financially Associated with Your Cient. Do they Receive Employment, Unemployment Assistance/Benefit, Sickness Benefit, Disability Allowance, Pension, Job Training Allowance, Grant, Other

Does Your Client, Anyone Financially Associated with Your Cient or Any Dependant Children Receive Employment, Unemployment Assistance/Benefit, Sickness Benefit, Disability Allowance, Pension, Job Training Allowance, Grant, A Partner in a Business, A Director/Shareholder in a Business or Company, Receiving Money From a Trust, Receiving Any benefit from a Business or Company? For example, use of a Car, Telephone, Payment of School Fees, Other

Does Your Client, Anyone Financially Associated with Your Cient, or Any Dependant Children make Housing Payments, Mortage, Rent, Board on Your Client’s Behalf and How Much?

Does Your Client, Anyone Financially Associated with Your Cient, or Any Dependant Children Pay Any of the Following Expenses Each Week on Your Client’s Behalf? Child Care , Spousal Support, Loans, Other debts.Give details

Does Your Client, Anyone Financially Associated with Your Cient, or Any Dependant Children Own a Home or Any Other Real Estate? Give financial details

Does Your Client, Anyone Financially Associated with Your Cient, or Any Dependant Children Own Any Motor Vehicles, Including Vehicles You are Paying Off and Other Person's Vehicles. Give details of Your Vehicles Year , Model, Market Value, Money Owing.

Does Your Client, Anyone Financially Associated with Your Cient, or Any Dependant Children have any Financial Accounts with a Bank, Financial Instution, Credit Union, have Financial Instruments, Cash or Money Invested with Other Persons? Give Details of Accounts

Does Your Client, Anyone Financially Associated with Your Cient, or Any Dependant Children Own Anything Else of Value? For example, Shares of Stock, Bonds, Boats, Precious Metals, Jewellery, Insurance, Etc.? Give Details of Accounts

Has Your Client, Anyone Financially Associated with Your Cient, or Any Dependant Children Sold or Given Away any Money or Property Worth More Than $500? Give Details.

Did Your Client, Anyone Financially Associated with Your Cient, or Any Dependant Children Get Any Lump Sum Amount(s) of Money Greater than $500 in The Last 12 months? For example, a Loan, Gift, Compensation, Award from a Court Case, etc.? Give Details.

Does Your Client, Anyone Financially Associated with Your Cient, or Any Dependant Children Expected to Get Any Lump Sum Amount(s) of Money in the next 12 months? Like a loan, gift, Compensation, Award from a Court Case, etc.? Give Details.

Has Your Client, Anyone Financially Associated with Your Cient, or Any Dependant Children Paid Any of Your Legal Fees for This Case? Can/ Will They Pay Any Fees? Give Details.

Briefly Explain Your Legal Problem— Please Attach Copies of Any Documents, Summonses or Charge Sheets Relating to This Matter. Do Not Give Originals and Provide Details.

For Criminal Matters—What Offences are Your Client Charged With? Give Details.

For All Other Matters— Give Details.

What and Where is the Court and Provide Case Number, Judge?— Give Details.

Has Your Client Had an Attorney In This Case? Who Do They Want as Their Lawyer? In Some Cases, You May Not Get the lawyer you Choose. Want A Legal Aid lawyer, A Private Lawyer?— Give Details.

FAMILY LAW ONLY

Provide Details of The Person(s) Your Client Is In Dispute With. Their Full Name, Date of Birth, Address, Phone Number, Their lawyer's Name, Lawyer's Address

Was Your Client Married to The Person They are in Dispute With? Give Date of Marriage, Date of Separation, Date of divorce

Has Your Client Been to Counselling/Mediation? Give Details

Is There Existing Court Orders in Relation to This Dispute? Give Details

CRIMINAL LAW ONLY

Was Anyone Else Charged with Your Client for These Offences? Give Details

Is Your Client Committed for Trial? Give Details

Does Your Client Have Any Prior Convictions? Give Details

CIVIL OR GENERAL LAW ONLY

Please Give The Date and Place where Your Clients Accident or Problem Happened.

Who is Your Client in Dispute With? Please Give Details if Known

Is Your Client Insured Against Any Part of This Claim/Loss? Give Policy Information, Name and Address of Insurer

What Is Your Client ‘s Estimate The Amount of The Claim/Loss

OTHER INFORMATION

Is There Any Other Information That You Would Like to Offer?

Give Us Your Self Assessment of The Situation

Please note that this information has been gathered to help us provide Your Client with a service that will meet thier needs. They should not fail to provide information required of them and which is relevant to this application for legal aid/assistance. They MUST provide all documents to us in connection with this application for legal aid/assistance and it is a crime to present information that is false or misleading and they MUST NOT make a false or misleading statement either orally or in writing in relation to this application for legal aid/assistance and therefore declare that all the information they have given is true and correct. The information will be treated in STRICT CONFIDENCE.

I Accept the Aaron and Margaret Wallace Foundation’s Terms of Submission.

Legal Information & Assistance

Ask a Lawyer

Drop-in legal information for tenants twice a month at OHA.

Click here to view the schedule

Bay Area Legal Aid

405 14th Street, 11th floor

Oakland, CA 94612

(510) 663-4744

(800) 551-5554

www.baylegal.org

Centro Legal de la Raza

1001 Fruitvale Avenue, Second Floor

Oakland, CA 94601

Spanish – (510) 437-1554

English – (510) 437-1554 and press 2 #

http://www.centrolegal.org/

East Bay Community Law Center

3130 Shattuck Avenue

Berkeley, CA 94705

(510) 548-4040

www.ebclc.org

Eviction Defense Center

1611 Telegraph Ave

Oakland, CA 94612

(510) 452-4541

National Housing Law Project

614 Grand Ave., Ste. 320

Oakland, CA 94610

(510) 251-9400

www.nhlp.org

Oakland Rent Arbitration Board

250 Frank H. Ogawa Plaza, 5th Floor

Oakland, CA 94612

(510) 238-3721

http://www.oaklandnet.com/government/hcd/rentboard/index.html

Sentinel Fair Housing

510 16th Street, Ste. 560

Oakland, CA 94612

(510) 836-2687

www.sentinelfairhousing.org

Additional Legal Resources

Alameda County Bar Association

610 16th Street, Ste. 426

Oakland, CA 94612

(510) 893-7160

http://www.acbanet.org

Law Center for Families

510 16th Street, Suite 300

Oakland, CA 94612

(510) 451-9261

www.lcff.org

Lawyers in the Library

Oakland Public Library

(510) 239-3134

http://www.oaklandlibrary.org/services/lawyers.html

Legal Assistance for Seniors

464 7th Street

Oakland, CA 94607

(510) 832-3040

Small Claims Legal Advice Program

661 Washington Street, 2nd Floor (Self Help Center)

Oakland, CA 94607

(510) 268-7665

www.co.alameda.ca.us/courts

Mediation

Trained mediators help landlords and tenants resolve disputes by helping both parties talk through the problem and come to an agreement together.

East Bay Community Mediation

1968 San Pablo Ave

Berkeley, CA 94702

(510) 548-2377

Sentinel Fair Housing

510 16th St., Ste 560

Oakland CA 94612

(510) 836-2687

www.sentinelfairhousing.org

Fair Housing & Discrimination

Bay Area Legal Aid

405 14th Street, 11th floor

Oakland, CA 94612

(510) 663-4744

(800) 551-5554

www.baylegal.org

Housing Rights

P.O. Box 12895

Berkeley 94712

(510) 548-8776

http://www.housingrights.com

Sentinel Fair Housing

510 16th Street, Ste. 560

Oakland, CA 94612

(510) 836-2687

www.sentinelfairhousing.org

U.S. Department of Housing & Urban Development (HUD)

Office of Fair Housing and Equal Opportunity

450 Golden Gate Avenue

San Francisco, CA 94102-3448

(415) 436-8400

(800) 347-3739

TTY (415) 436-6594

www.hud.gov

Fair Housing Information

http://www.hud.gov/offices/fheo/

Housing Discrimination Complaint Line: (800) 669-9777

Disability Resources

AC Transit Paratransit

(510) 817-1717

http://www.actransit.org/riderinfo/paratransit.wu

Access Improvement Program

City of Oakland grants for accessibility modifications in rental housing

Residential Lending & Rehabilitation Services

(510) 238-3909

www.oaklandnet.com/government/hcd/loansgrants/access_rent.html

Center for Independent Living (CIL)

2539 Telegraph Ave

Berkeley, CA 94704

(510) 841-4776

TDD: (510) 848-3101

www.cilberkeley.org

CIL Field Offices:

Oakland Office

610 16th Street, 4th Floor

Oakland, CA 94612

(510) 763-9999

TDD: (510) 444-1837

Fruitvale Satellite Office:

Centro de Vida Independiente CIV

Spanish Speaking Citizens Foundation

1470 Fruitvale Avenue

Oakland, CA 94601

(510) 536-2271

East Oakland Office:

7200 Bancroft Ave, Suite 9 A

Oakland, California

(510) 635-4920

Disability Rights Education & Defense Fund

2212 Sixth Street

Berkeley, CA 94710

(510) 644-2555 V/TTY

www.dredf.org

Housing Consortium of the East Bay

(for people with developmental disabilities)

1736 Franklin Street, 6th Floor

Oakland, CA 94612

(510) 832-1315

www.hceb.org

Housing Rights

P.O. Box 12895

Berkeley 94712

(510) 548-8776

www.housingrights.com

Protection & Advocacy Incorporated

433 Hegenberger Road, Suite 220

Oakland, CA 94621

(800) 776-5746 Voice/TDD/TTY

www.pai-ca.org

U.S. Department of Veterans Affairs

www.va.gov

Online government disability resources:

Federal disability resource page:

www.disabilityinfo.gov

Americans with Disabilities (ADA) Homepage

http://www.usdoj.gov/crt/ada/adahom1.htm

Senior Resources

Adult Day Services Network of Alameda County

7751 Edgewater Drive

Oakland, CA 94601

(510) 883-0874

www.adsnac.org

AC Transit Paratransit

(510) 817-1717

http://www.actransit.org/riderinfo/paratransit.wu

Alameda County Adult & Aging Services

Eastmont Town Center

6955 Foothill Blvd, Suite 300

Oakland, Ca 94606

(510) 577-1900

http://www.alamedasocialservices.org/public/about/departments/

adult_and_aging/index.cfm

Bay Area Community Services

Post Office Box 2269

Oakland, CA 94621-2269

(510) 613-0330

TDD: (510) 613-0328

www.bayareacs.org

Family Bridges, Inc.

168 11th Street

Oakland, CA 94607

(510) 839-2022

www.fambridges.org

Legal Assistance for Seniors

464 – 7th Street

Oakland, CA 94607

(510) 832-3040

Over 60 Health Center/ LifeLong Medical Care

2031 Sixth Street

Berkeley, CA 94710

(510) 704-6010

www.lifelongmedical.org

St. Mary’s Center

635 – 22nd Street

Oakland, CA 94612

(510) 893-4723

www.stmaryscenter.org

The Unity Council

1900 Fruitvale Ave., Suite 2A

Oakland, CA 94601

(510) 535-6900

(510) 534-7771

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