Entrepreneurship & Intellectual Property Clinic Application Contact InformationName First Last Associated Organization (if any):Email PhoneService RequestedPlease briefly describe the business or prospective business for which you seek legal services (such business may be for profit or nonprofit):*Please briefly describe the legal services you are interested in:*OtherPlease check this box if either the individual(s) or the organization seeking to become a client of the clinic has been a client of the clinic in the past.Please check this box to certify that the individual(s) or the organization seeking to become a client of clinic cannot otherwise afford legal representation using available sources of funding (e.g., personal incomes, organizational revenue, investor contributions, etc.).PhoneThis field is for validation purposes and should be left unchanged.