Justiceserver Questionnaire
Organization Name
Nonprofit Type
501(c)3 Nonprofit
Non 501(c)3 Nonprofit
NON 501(c)3
We are usually limited to working with 501(c)3 nonprofits. However, we are sometimes permitted make exceptions. Please provide us your contact information and we will follow up.
Organization Details
Street Address
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Postal Code
Website
Annual Revenue
Mission Statement
A maximum of 500 characters allowed.
Who should be our primary contact?
First Name
Last Name
Title
Email
Phone
Tell us about your needs
Staffing
How many
total
staff do you have?
How many staff
attorneys?
Do you use pro bono attorneys?
Yes
No
Are you interested in using the pro bono portal for your volunteer attorneys? (additional license costs apply to use of the pro bono portal)
Yes
No
Do you use interns or similar volunteers as part of your program delivery?
Yes
No
Please describe the level of system access/functionality your interns will need
Program Delivery
What is your current case management system?
Are you LSC funded?
Yes
No
How many unique programs do you have?
Do you have a common intake form and intake process across all programs/legal issues?
Yes
No
How many unique intake forms or processes do you have? Can you briefly describe the differences?
Describe your screening process -what metrics do you use to qualify a potential client?
How many clients do you estimate that you screen per week?
What do you track in regards to households (select from below)
We count only the number of household members without gathering names
We track the names of household members for conflict check only
We serve multiple family members, but each will have their own intake and case process
Our process is more complex than any of the above (please describe below)
Please describe how you track households
Do you run clinics or hotlines?
Yes
No
Who staffs your clinic/hotline?
Is screening and scheduling done in advance?
Yes
No
Do you have walk-ups to your clinic?
Yes
No
Would you like an electronic intake form for walk-ups?
Yes
No
Will you have internet connection and staffing capabilities to follow the same standard process as an advance registration?
Yes
No
Features & Functionality
Would 2 levels of access be sufficient for your needs: 1) general staff 2) administrators/supervisors
Yes
No
If you need more complex security restrictions, please briefly describe what you envision
Are you currently using Salesforce for any purpose?
Yes
No
Do you have interest in using Salesforce for your donation and grant management?
We already do!
Yes
No
Do you need to track time in the system?
Yes
No
Do you need to track unique funding sources for cases and time management?
Yes
No
Are you looking to integrate any external systems or third party features?
SMS messaging
Outlook integration
Electronic signature
Generating printable documents (court pleadings, forms, etc)
Mapping
Other
Other integrations or third party features
Please briefly describe any functionality that is important to you and that was not covered in the questions above
Contact Information