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 CED 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) are located within the Denver metropolitan area, and (v) complement the clinic's educational goals. Please note that the CED Clinic cannot currently accept projects that must be resolved within a short time frame.

Once submitted, a faculty member will contact you to schedule an initial meeting. If you have any questions, please contact Patience Crowder at pcrowder@law.du.edu or Jack Wroldsen at jwroldsen@law.du.edu.

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?

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?

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:

Address:

City:

State:

Zip:

Phone:

Cell Phone:

Fax:

Email:

Preferred Contact Method:
Mail
Phone
Email
Cell phone

Relationship to Applicant (check all that apply):
Owner/Principal
President/CEO
Partner
Employee
Board Member

Other relationship (Specify):

SERVICES NEEDED (check all that apply):
Business Formation
Bylaws
Permits and Licenses
Corporate Governance/Board Training
Contract Drafting, Negotiating, or Review
Copyright or Trademark
Nonprofit Formation
Employee Issues
Tax-exempt Application

Other services (please specify):

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:

Please attach copies of the following documents, if applicable:

  • Business plan
  • Any formation documents (e.g. certificate of incorporation)
  • Bylaws
  • Operating agreement
  • Balance sheet, profit loss statement, current budget, and any other financial documents that indicate the Applicant's financial health and demonstrate eligibility for the CED Clinic's services
  • Licenses, commercial leases, and any other material contracts

Documents:

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 CED Clinic may not be able to assign a student attorney or provide legal services. If the CED Clinic does provide services, I authorize the CED 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 as a result of a submission made through submission of this form. If you are not already a client of the clinic, we do not have an obligation of confidentiality as to information submitted to us through this page.

Signature:

Date: