Volunteer Form

Full Name

Employer or Firm:

Mailing Address:

Cell Phone

Work Phone


E-Mail Address:

Number of Lawyers in Dept. or Firm:

Year Admitted to Practice in MN:

MN Supreme Court ID#:

Has any disciplinary action ever been taken against you by any state bar disciplinary committee or is any disciplinary proceeding currently pending?
 Yes No

If yes, explain:

Areas of practice:

Languages you speak fluently:

How did you hear about LegalCORPS?

TTY for hearing impaired in your office?

 Yes No

LegalCORPS needs attorneys with familiarity in many different areas of law. Please check the applicable boxes indicating the area(s) of law you are interested in.
 Administrative Law Nonprofit Incorporation/Governance Bankruptcy Nonprofit Tax Business Advice Real Estate - General Contracts/Agreements Real Estate - Lease Reviews Employment School Law (Charter/Private) Corporate Entity Formation/Governance Corporate Tax Immigration Wills & Probate Insurance Intellectual Property - Copyright, Trademarks Intellectual Property - Patents Other – Non-Litigation (specify below)

Other Non-Litigation Areas:

 I am new to business/nonprofit law and would like to learn more about the training offered by LegalCORPS.

 I would like an experienced lawyer to consult as a resource when I assist LegalCORPS clients pro bono.

I am willing to serve as a resource for or trainer of other volunteers in the following area(s):

 I am willing to provide brief advice by phone.

Please answer the following questions if you are interested in being part of the Inventor Assistance Program (IAP):

USPTO Registration #:

Date of USPTO Registration:

Technical background and areas of experience:

Technical areas/industries that may present a conflict:

Willing to provide advice/assistance to provisional patent applicants?:
 Yes No

Willing to provide advice to patent matters at in-person clinics or by phone?:
 Yes No

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