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: Filling out an application does not establish an attorney-client relationship between us, and we will not begin doing your work until we both decide that you will become a Clinic client. You have the right to continue to look for an attorney and decline legal services from us (if offered).
Individual's Name Completing this Application:
I am seeking assistance as an
Individual's Contact Information:
Organization Contact Information:
Contact Phone Number(s):
Names of Principals (founders, owners & shareholders):
How did you hear about the Clinic?
What is your approximate yearly income?
Organization is a
What is your mission?
Please describe your company:
Is the organization incorporated?
What year did you incorporate, and in what state?
Is the organization currently operating?
How long has it been operational?
When do you anticipate becoming operational?
How is the organization financed?
What is the organization's net income?
Does the organization pay you a salary?
Do you work a paying job outside of the organization?
How many employees (besides you) does the organization have?
Does the organization use any consultants?
What kind of work do you pay them to do?
Do you own any intellectual property?
Describe the intellectual property:
What kind of intellectual property does the organization have?
Do you have any patent, copyright or trademark applications or registrations?
Could anyone else claim ownership rights over your intellectual property (including a consultant, employee, company, co-inventor?)
If you have a technology that you are trying to protect, have you told anyone about the technology outside of the protection of a confidentiality agreement?
Have you ever utilized the services of a lawyer before?
Please tell us his/her name and in what capacity you did utilize him/her.
What help are you requesting from the Clinic?
Please list any other clinic that you are applying to this semester, and what kind of work you are requesting they handle.
How soon do you need a lawyer?
Within the next month
Not for a couple months
Please describe any deadlines you are trying to meet
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3501 Sansom Street, Philadelphia, PA 19104