Volunteer Application

The Lawyer Assistance Program (LAP) is available to all lawyers in Maryland and is committed to providing assistance to lawyers, judges, and law school students facing substance abuse, addiction, or mental health complications. LAP offers assessment, referral, short-term counseling, and continued support to insure long term success.

This application form is confidential, and will not be shared with anyone without your express consent.

I am qualified to volunteer for MSBA LAP for the following reason(s) (check all that apply).*

If more than one issue applies, type what you believe is your primary issue in "Other" below.

I have been in recovery from alcoholism or other addiction for at least three years (e.g. drugs, gambling, sex, etc.)
I am in recovery from a mental health issue (e.g. depression, anxiety, ADHD, etc.)
I am in recovery from a long-term physical illness (e.g. lupus, multiple sclerosis, HIV/AIDs, etc.)
I am not in recovery, but have professional experience that I believe would be helpful to MSBA LAP.
I am not in recovery, but have been affected by the related issue of someone close to me.
Other

Other:*

I have received treatment, am currently receiving treatment, or am otherwise active in my recovery (e.g. 12-step meetings, therapy, etc.)*

Yes
No
N/A

Treatment experience:*

Detox
Intensive Outpatient
Inpatient/Residential
Outpatient
N/A
Other

Other:*

Length of continuous recovery (the length of time which you would say you have been in recovery from your primary issue):*

Why do you want to volunteer for MSBA LAP? Please provide a general statement of interest below. You can include any other information you think the MSBA LAP leadership should consider with respect to your application, such as other relevant life experience, educational experience, or professional experiences that make you want to volunteer for MSBA LAP.*

I expressly consent for the information contained in this form to be shared with MSBA LAP leadership responsible for reviewing volunteer applications.*

Yes
No

I understand that if my volunteer application is accepted, any information about other members and clients of MSBA LAP is to be kept strictly confidential.*

Yes
No

I understand that if I fail to keep information about other members and clients of MSBA LAP confidential as required, I will be removed from the program.*

Yes
No

I further understand that the MSBA LAP program provides no protection from any civil, criminal, or professional consequences resulting from my failure to keep information confidential as required.*

Yes
No

I have read and understand the Important Information sheet.*

Click here to access the sheet

Yes
No

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