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REQUEST FOR LEGAL SERVICES

All potential clients (for-profits, nonprofits, and artists) must complete this form. The term "Applicant" refers to the business, organization, entity, or artist requesting legal services. If any question does not apply to you, please enter "N/A" and continue.

The clinic faculty members determine whether the requested services are appropriate for student representation. Priority is given to potential clients who (i) do not have access to discretionary funds for legal advice, (ii) are community-based, assist underserved communities, or are owned or operated by women, minorities, or economically disadvantaged individuals, (iii) have a written business or strategic plan or can otherwise demonstrate the capacity for ongoing operations, (iv) complement the clinic's educational goals. Please note that we cannot currently accept projects that must be resolved within a short time frame.

The Community Economic Development Clinic generally accepts most new clients each August before the start of the fall semester. A limited number of clients may also be accepted throughout the academic year.

After submitting your application, you can expect to be contacted by a faculty member within approximately three weeks. For any questions, please reach out to Professor Joe McKay at Joseph.J.Mckay@du.edu.

If a field is not applicable, please leave it blank.

APPLICANT INFORMATION

If you are an individual and do not plan to form a separate legal entity, please answer the question in your individual capacity.

Artist/Business/Organization Name:

Please list any trade names or dbas:

Address:

City:

State:

Zip:

Phone:

Fax:

Email:

Website:

Nature of operations (describe primary services or products provided):

Are you currently operating?

Yes
No

If yes, month and year started:

How many employees do you have?

How did you hear of the CED Clinic?

Has a lawyer worked with you on this matter in the past?

Yes
No

If yes, please provide the lawyer's name and contact information:

CONTACT INFORMATION

The primary client contact should complete this section.

First Name:

Middle Initial:

Last Name:

Gender Pronouns:

Address:

City:

State:

Zip:

Phone:

Cell Phone:

Fax:

Email:

Preferred Contact Method:

Mail
Phone
Email
Cell phone

Relationship to Applicant (check all that apply):

Please include additional information you would like us to consider in determining your eligibility:

FINANCIAL INFORMATION

This information will be kept confidential and will only be used to gauge the appropriateness of representation by the CED Clinic. Priority is given to potential clients who do not have access to discretionary funds for legal advice.

Revenue last year (including grants, if applicable):

Revenue this year (to date):

Total assets:

Annual budget:

Combined personal gross income of owner(s):

Please list all owners and their percentage ownership:

Upload your business plan (if applicable):

Upload your formation document (if applicable):

Upload your financial plan/budget (if applicable):

Upload other document (if applicable):

By preparing and submitting this form, I certify that the information contained in this form is true and, if applicable, that I am authorized to represent the Applicant. I also certify that I do not, and, if applicable, the Applicant does not, have the financial means to obtain legal representation. I understand that this form is a component of the CED Clinic's application process and that the Clinic may not be able to assign a student attorney or provide legal services. If the Clinic does provide services, I authorize the Clinic to release information regarding the services provided for marketing or promotional purposes. Such information may include my name and the name of the Applicant (if applicable). An attorney-client relationship cannot be established through submission of this form. If you are not already a client of the Clinic, our obligations to you after submission of this form are limited to the obligations that attorneys owe to prospective clients under Colorado's rules governing attorney ethics.

Signature:

Date:

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