Startup Legal Garage Client Intake Form: InfoTech Module

Institute for Innovation Law's Startup Legal Garage (SLG): InfoTech Module

 
This is the Application form for clients applying to participate in the Startup Legal Garage (SLG).

The SLG will review your application and notify you as to whether you are accepted in one to two weeks. Please note: all information is confidential.

ELIGIBILITY
The following are the requirements to apply to the Startup Legal Garage: InfoTech Module.

- Funding. Less than $1 million in funding (bootstrapped or outside funding).
- Product Development. Minimum Viable Product.
- Industry. Any industry is acceptable, but new technology is the focus.
- Legal status. Pre- or post corporate entity formation.


CERTIFICATION

I hereby certify that all of the information in this application is true to the best of my knowledge. I understand that the SLG may use this information in evaluating my eligibility for free legal services.

By signing this form you are agreeing that the information you provided to the SLG may be disclosed to attorneys in connection with recruiting pro bono assistance for your startup business. You also agree that the SLG may disclose to its students, funders and partners non-confidential information about your business and that your startup’s legal issues (with all identifying information removed) may be discussed by our students and faculty in the seminar portion of the SLG.

You further agree that after you are accepted into the SLG program, you will cooperate fully and promptly with all information, meeting and call-back requests made by the supervising attorney and SLG students who are assigned to assist you with your startup legal matters.
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1. Please complete the following information for the individual serving as the point of contact
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2. How many founders are there?
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3. Team information List all team members on a separate line with the information in the following order: Name First & Last, Title/Position, Email address, Phone Number.
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4. Please complete the following information about the business.
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5. Please select the following that best (generally) describes your company.
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6. Please select the industry that most accurately describes the space you work in.
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7. Please briefly describe your product or service (max 50 words).
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8. What is the current form of business entity (e.g. sole proprietor, partnership etc., if known):
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9. What is the start date of doing business?
MM DD YYYY
Best guess
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10. Please select all of the legal needs you anticipate needing legal services.
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11. Describe your legal needs. For example, where to incorporate California or Delaware; contracting with independent contractors; privacy policy for my mobile application. Do not worry about using the exact legal words, but be clear about the issues you need help with.
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12. Which community partner referred you?
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13. Do you have an existing relationship with an attorney (paid or unpaid):
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