TALA VOLUNTEER QUESTIONNAIRE
Thank you for your interest in volunteering with TALA! Please provide the following information for our records.
Contact Information
Salutation
Please select...
Mr.
Ms.
Mrs.
Dr.
Prof.
First Name
Middle Name
Last Name
Suffix
Please select...
Jr.
Sr.
II
III
Professional Suffix
Please select...
CPA
Esq.
JD
PhD
Firm
Title
Work Email
This email will be provided to the client when you are matched with a TALA case.
Work Phone
This phone number will be provided to the client when you are matched with a TALA case.
Fax
Street Address
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
Experience & Licensure
Area of Expertise
Attorney
CPA
Patent Attorney
Patent Agent
Years of experience?
Principal Practice Metro Region in Texas
Amarillo
Austin
Beaumont
Bryan/College Station
Corpus Christi
Dallas/Fort Worth
Galveston
Houston
Lubbock
McAllen
Nacogdoches
San Antonio
Tyler
Other (Please specify)
Principal Practice Metro Region (Other)
Describe briefly your area(s) of specialization:
Are you licensed to practice law in Texas?
Yes
No
Texas Bar #
Are you licensed in another state?
Yes
No
What state(s)?
Do you have malpractice insurance?
Yes
No
Are you licensed to practice before the USPTO?
Yes
No
USPTO registration number
What is your CPA license number?
What state are you CPA licensed in?
Volunteer Interest
Below are matters for which TALA clients most frequently seek assistance. Please select those areas in which you would be willing to provide assistance.
Accountants Assistance Areas
Annual Budgets
Bookkeeping
Chart of Accounts
Financial Reviews
Financial Statements
Tax and IRS Disputes
Attorneys Assistance Areas
Collections
Contracts
Copyright
Dispute Resolution (Mediation/Arbitration)
Employment
Film
General Business
IP Licensing
Labor & Employment Law
Landlord/Tenant
Literary
Music & Recording
Music Publishing
Nonprofit Incorporation
Nonprofit Law
Probate & Estate Planning
Tax and IRS Disputes
Trademark
Theater/Dance
Visual Arts
Patent Assistance Areas of Expertise
Electrical
Chemical
Mechanical
Other (Please describe)
Patent Assistance Areas of Expertise (Other)
Patent Assistance Areas not available for placement
Electrical
Chemical
Mechanical
Other (Please describe)
Patent Assistance Areas not available (Other)
What type of organization would you prefer as a client?
Dance
Theater
Music
Visual Artist
Film
Literary
Non-Profit Organization
Other (Please describe)
Other types of clients you would like to work with:
Would you be willing to help TALA in any of the following areas? If so, please specify.
Board and Advisory Committees
Educational Program Planning
Fundraising
Grant Writing
Public Relations/Promotions
Publications Development
Volunteer Recruitment
Other (Please Specify)
Other (please specify)
Are you willing to speak about any of the areas in which you specialize at workshops for professionals or clients?
Yes
No
What topics are you willing to speak about?
Recommend a Volunteer
Could you recommend another legal or accounting or patent professional we may contact?
First Name
Last Name
Firm
Email
Phone
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