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Home
About
Vision & Mission
WEN Leadership
Patrons
Board of Directors
WEN Board of Advisors
WEN Board of Advisors (Royals)
WEN Board of Advisors (Non-Royals)
Executive Directors
Continental Directors
WEN Empowerment Groups
Start a WEN Chapter
Program Areas
Govt Relations
Civic Duties Activities
Judicial Education
Govt Relations Workshops
Customary Law
Common Law
Voter Education | Registration Drives
VITA ASSISTANCE APPLICATION
Culture Competency Advocacy Mediation MAP
Prevention & Diversion
Supportive Intermediary Restorative Practice
Cultural Heritage Education
Govt. Rel. Services
cCAMP – Network of Legal Expert
Legal Referral Service
Interpreter Services
General & Welfare Assistance
Crises Assistance Application
FITT-IN – Relocation Assistance
Immigration
Government Relations
Family Life & Community
Age Grade
Relationship Management
Men/Women In Family & Community
Parenting
Ageing
Welfare Assistance
Health
Culinary Traditions
Care Package
Ethnic/Culture Advocacy
Health Workshops
Mental Health
Education
CompTIA Authorized Academy Partner
GEDworks
Mentoring
Scholarships
WEN Book Club
WEN Creative Writing
WEN Magazine
Economic Resource & Development
Economic Resource & Development
Resume Building Workshop
Solar Powered Hydroponics System
International Relations
WEN Annual Ethnic Folklore Festival
Chieftaincy Title
Ethnic Studies Experts
Roots LinkUp Tour
History Workshops
Arts and Crafts
Science & Technology
Peace Making & Keeping
WERC PARTICIPANTS
WERC Participation Invitation
Recreation
WEN BASKETBALL LEAGUE OF TEAMS
WEN DB OF VERIFIED ATHLETES
Tours
Engage
Volunteer With WEN
Start a WEN Chapter
Affiliate With WEN
AFFILIATE PROJECTS
Incubate Your Project
Internship & Fellowship
Internship
Fellowship
Ethnic Studies Experts
Project Collaborators
Research & Development
Events | Workshop | Conference
Talenthon
workshops
Conferences
Festivals
Scholarships
WEN Book Club
Careers
Contact
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Power of Attorney (POA)
WEN LEGAL REFERRAL INTAKE FORM
POWER OF ATTORNEY (POA)
Please enable JavaScript in your browser to complete this form.
Date / Time of Application
*
Date
Time
Why Are You Looking For a Lawyer?
*
Client Information – Designated POA 1
Name
*
First
Last
Email
*
Phone
*
POA 1's Age
*
POA 1's Address
*
Address Line 1
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*
Client Information – Designated POA – Alternate
Alternate POA's Name
*
First
Last
Alternate POA's Phone
*
Alternate POA's Email
*
Alternate POA's Address
*
Address Line 1
Address Line 2
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— Select state —
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Alaska
Arizona
Arkansas
California
Colorado
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District of Columbia
Florida
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Iowa
Kansas
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Maine
Maryland
Massachusetts
Michigan
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State
Zip Code
County of Alternate POA's Residence
*
Alternate POA's Age
*
Client is Designated Power of Attorney (POA) For:
Full Name
*
First
Last
Phone Number
*
Email
*
Address
*
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Age
*
Relationship to Designated POA 1
*
Relationship to Designated POA Alternate
*
Additional Comments
*
Signature
*
Clear Signature
Culture Competence Advocacy & Mediation Program (cCAMP)
WEN’s legal referral services (LRS) WENLRS is under our Culture Competence Advocacy and Mediation Program (cCAMP), which is a culture based resource available to you to meaningfully manage your lawyer’s expectation and supports your lawyer, especially with culture competence based resources to handle your case. As a potential client, you are also provided with the choice of requesting this advocacy and mediation service when completing your intake form if you feel it will help you meet your lawyer’s expectations. It will also provide you the necessary peace of you mind you need to ensure the lawyer is taking certain cultural information into consideration to address your case. We find that this has been a tremondous help in the past, especially for clients of strong ethnic convictions. If you will like to use this service, please sign below. Otherwise,
I Permit WEN to Use cCAMP to Manage My's Lawyer Expectation and Support My Case *
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