Pro Bono Legal Match Program Interest Question Title * 1. Nonprofit Point of Contact First Name Last Name Title / Role Phone Number Email Address Question Title * 2. Nonprofit Information Organization Name Organization Address (Street Address, City, State, Zip Code) Annual Operating Budget Organization Website Organization EIN 501c3 Designation Date Year Founded Number of Full Time Employees (FTE) Number of Part Time Employees (PTE) Number of Volunteers Number of Board Members Question Title * 3. Organization Mission Statement Question Title * 4. Is your organization incorporated in Colorado? Yes No Question Title * 5. How did you hear about the Pro Bono Legal Match Program? COnnect E-Newsletter Pro Bono Legal Match Specific Email Nonprofit Legal Audit Clinic CNA Website The Denver Trust Social Media Personal Referral Other Question Title * 6. Has your nonprofit organization ever participated in the Association's Nonprofit Legal Audit Clinic or Pro Bono Legal Match? Past Legal Audit Clinic participant Past Pro Bono Match participant No Unsure Question Title * 7. What is your Primary Purpose Code (NTEE) A- Arts, Culture and Humanities B- Education C- Environment D- Animal Related E- Health Care F - Mental Health, Crisis Intervention G- Disease, Disorders, Medical Disciplines H- Medical Research I- Crime, Legal Related J- Employment, Job Related K- Agriculture, Food, Nutrition N- Recreation, Sports, Leisure, Athletics O- Youth Development P- Human Services Q- International, Foreign Affairs, and National Security R- Civil Rights, Social Action, Advocacy S- Community Involvement, Capacity Building T- Philanthropy, Voluntarism and Grantmaking Foundations W- Public, Society Benefit X- Religion, Spiritual Development Z- Unknown Question Title * 8. Primary Populations Served All Populations Native American Populations Asian American & Pacific Islander Populations African-American & Black Populations Latino, Hispanic & Chicano Populations Homeless Populations Immigrant Populations Rural Populations Urban Populations Low-Income Populations Families Women Men Youth and Young Adults Seniors and Older Adults LGBTQIA+ Populations Animal Welfare Question Title * 9. If offered pro bono legal services, would your organization be willing to confirm that “…the payment of standard legal fees would significantly deplete the organization's economic resources or would be otherwise inappropriate.” (COLORADO RULES OF PROFESSIONAL CONDUCT, Rule 6.1. Voluntary Pro Bono PS Yes No Question Title * 10. For what purpose is your organization seeking legal assistance? Legal Advice Draft or Review Documents/Policies/Contracts Other (please specify) Question Title * 11. Does your organization’s legal need involve an actual, threatened, or anticipated legal claim, lawsuit, arbitration, proceeding, criminal matter, or other dispute with another person, organization, or government agency? Yes No Question Title * 12. In 3-5 succinct sentences, please summarize your organization's legal need. Please include key facts such as the type of document or specific task for which you are requesting assistance. Done