General Intake Form
Please complete the form below to request more information. If you need assistance ONLY with
nonprofit
related matters, please fill out the form here instead:
tfaforms.com/5207774
Contact Information
First Name
Last Name
Email
Phone Number
What is your preferred method of contact? (phone or email)
Home Address
Address Line 1
Address Line 2
City
Zip/Postal Code
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
County (i.e. Hennepin, Anoka,etc.)
Legal Needs
It is important to provide enough information on here that can help us better connect you to services. Short answers like "I need business advice" or "I need patent help" is not enough, and will cause a delay in getting you help.
Which LegalCORPS Program(s) are you interested in? (
If you need assistance ONLY with nonprofit
related matters, please fill out the form here instead:
tfaforms.com/5207774
)
Business & Entrepreneurs
Inventors
MN Paid Leave
Have you already registered your business in the state of Minnesota?
Yes
No
If you are here for our inventors assistance program (IAP) and live in one of the other four states that program serves (Iowa, North Dakota, South Dakota, and Wisconsin), you can choose "no" (and still receive help through the program).
Business Name
Industry
Please select...
Agriculture & Animal Services
Arts & Entertainment
Banking & Finances
Business Services
Construction/Utilities/contracting
E-commerce
Education
Food & Hospitality
Health Services
Legal
Manufacturing
Marketing & Communications
Non-Profit
Personal & Family Services
Real Estate & Housing
Retail - Storefront/In-Person
Safety & Security
Technology
Transportation
Other
Are any other parties involved in this matter (i.e. opposing parties, interested parties, or other businesses)? Please list and specify.
What question(s) and/or issues do you need help with from LegalCORPS? (There is a 2000 character limit.)
Please be thorough but to the point with the answer as this information is used by us for best matching and attorneys for preparation. If you are here for patent help, please let us give us a basic description of your invention and where in the process you are.
Household Income
-
We ask this because some of our programs require that our clients make below a certain level of income. Also please note , for business owners, this is not business revenue but what you pay yourself.
Total gross
MONTHLY
household income
$
.00
Household income is a measure of the
combined incomes of all people sharing a particular household or place of residence
. It includes every form of income, e.g., salaries and wages, retirement income, government benefits, etc.
How many adults live in your household?
How many children (under age 18) live in your household?
Demographics
Birth Year
Gender
Male
Female
Non-Binary
Prefer not to say
Other
Other Gender
Race Self-Identification
African American/Black
Asian/Pacific Islander
Native American/American Indian
White
Biracial
Multiracial
Other
Prefer not to say
Do you identify as Latino/Hispanic Origin?
Yes
No
Prefer not to say
Other Race/Ethnicity
Do you consider yourself an immigrant?
Yes
No
Prefer not to say
Are you a veteran?
Yes
No
Prefer not to say
Do you consider yourself to have a disability?
Yes
No
Prefer not to say
Send me LegalCORPS updates, information relevant to my business/nonprofit/invention, and newsletters via email
How did you hear about LegalCORPS?
Advertisement/Flyer
Event
Family/Friend
Former Client
Internet/Web Search
Social Media
An Attorney
Partner Referral (such as TC SBDC, Elevate, etc.)
Other
If you chose Other or Partner Referral please type the name of the community partner here.
Screening Type
If you are here for our inventors assistance program (IAP) and live in one of the other four states that program serves (Iowa, North Dakota, South Dakota, and Wisconsin), you can choose "no" (and still receive help through the program).
Contact Information