Clinic – SBCDC Client Application Form

Contact Information

Contact Name

Contact Email

Confirm Contact Email

Contact Phone Number

Contact Address

Preferred Contact Method

Email

Phone

Text

No preference

Organization Information

Have you formed a business entity (ex: Corporation, LLC, Non-profit Corporation, etc)?

Yes

No

Business Entity Details

What is the name of the entity?

What type of entity is it (Corporation, LLC, etc)?

In what state was the entity created?

What is the contact person’s position within the entity (ex: owner, director, president, etc):

Please list the principal people involved in the entity (owners, directors, officers, etc):

What is the business address of the entity?

If you know the entity’s Employer Identification Number (EIN), please provide it here:

Do you operate under a DBA (“Doing business as” aka a name other than your own)?

Yes

No

What is the DBA name?

Please briefly describe what your business or organization does:

Does your business or organization have a website?

Yes

No

What is the address for the website?

Is the business or organization currently operating?

Yes

No

How long has the business been operating?

Legal Needs

Please briefly describe the legal assistance you are hoping to receive (details are not necessary. If you are unsure of your needs, describe the situation that has led you to contact us):

Have you worked with any other attorneys on these matters?

Yes

No

Please provide the name and contact information of the attorney:

Are you under any specific time constraints? If so, please describe them.

How did you hear about us? Did a particular person or organization refer you to us?

Are you affiliated with LSU in any way? Note: this does not influence our ability to assist clients.

Please note that filling out this form does not guarantee you legal assistance. Currently, you are not a client of our clinic. We do our best to respond to all enquiries. We typically only take on new clients at the beginning of academic semesters and have limited space.

Small Business and Community Development Clinic

Client Application Form

Contact Information

Organization Information

Business Entity Details

Legal Needs