LSE Pro-Bono/Free Attorney Application

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Personal Information

Please enter the date as: mm/dd/yyyy.
Include apartment number, if any.
Name, phone number, and relationship to you of another contact person, in case we can't get ahold of you

Demographic Information

Your answers to these questions are collected for grant reporting purposes. 
Press and hold CTRL to select multiple (or Command on a Mac).
If yes, please check the box.
If yes, please check the box.

Personal Financial Information

Your application will not be considered without the following financial information. Your answers are collected to assess eligibility for our program and for grant reporting. 
Number of people who live with and share financial resources with you.
Includes income of spouse, parent or partner in same household. 
Please enter a number without a dollar sign.
Please enter a number without a dollar sign.

Business Information

Name, phone number, e-mail address

Legal Assistance

Hold down SHIFT-key to select multiple options.
If yes, please check the box.
Please enter in format mm/dd/yyyy
If yes, please check the box.
If yes, please check the box.
50 Character Limit

Consent for Disclosure of Case Information

We will not disclose the information you provide in this Application for Assistance to anyone except: 

1.       as authorized by you; 

2.       as required by law or court order;

3.       our employees and representatives, for the purpose of making a determination about whether you qualify for our services and/or for the performance of our services; 

4.       volunteer attorneys, paralegals, translators, or interpreters (“Volunteers”) who express interest in assisting you. All Volunteers will see a short description of your request for assistance that does not contain any identifying details. Volunteers who express interest in assisting you will receive your name and contact information and that of any opposing parties to facilitate a conflicts check. After completing the conflicts check and connecting you with the Volunteers who have agreed to assist you, we will forward those Volunteers a full copy of your application; or

5.       we may compile data and information provided by you and other Legal Services for Entrepreneurs applicants and/or clients, but such information will only be disclosed on an aggregate or illustrative basis and will not be disclosed in a manner that would personally identify you.

File Upload

Your application will not be considered without uploaded copies of the requested financial information.
Upload a copy of your commercial lease, if applicable.