Survey | Application for Legal Services from Detkin Intellectual Property & Technology Legal Clinic

Intake for Spring 2025 is now closed. Please complete the online application to be considered for the Fall 2025 semester. The DIPTC is accepting client applications on a rolling basis and applications for Fall will be reviewed starting in August 2025.

PLEASE NOTE: Filling out an application does not establish an attorney-client relationship between us, and we will not begin doing your work until we both decide that you will become a Clinic client. You have the right to continue to look for an attorney and decline legal services from us (if offered).

Individual's Name Completing this Application:

I am seeking assistance as an

Individual
Organization

Individual's Contact Information:

Address:

Phone Number(s):

Email Address(es):

Organization Contact Information:

Organization Name:

Organization Address:

Contact Phone Number(s):

Email address(es)

Organization Website:

Names of Principals (founders, owners & shareholders):

How did you hear about the Clinic?

What is your approximate yearly income?

Organization is a

non-profit
for profit

What is your mission?

Please describe your organization/company:

Is the organization/company incorporated?

Yes
No

What year did you incorporate, and in what state?

Is the organization/company currently operating?

Yes
No

How long has it been operational?

When do you anticipate becoming operational?

How is the organization/company financed?

What is the organization/company's net income?

Does the organization/company pay you a salary?

Yes
No

How much?

Do you work a paying job outside of the organization/company?

Yes
No

How many employees (besides you) does the organization/company have?

Does the organization/company use any consultants or other non-employees?

Yes
No

What kind of work do they do? Are they paid or unpaid?

Do you own any intellectual property?

Yes
No

Describe the intellectual property:

What kind of intellectual property does the organization/company have?

Do you have any patent, copyright or trademark applications or registrations?

Yes
No

Please list:

Could anyone else claim ownership rights over your intellectual property (including a consultant, employee, company, co-inventor?)

Yes
No

If you have a technology that you are trying to protect, have you told anyone about the technology outside of the protection of a confidentiality agreement?

Yes
No

Have you ever utilized the services of a lawyer before?

Yes
No

Please tell us his/her name and in what capacity you did utilize him/her.

What legal help are you requesting from the Clinic? The more specific you can be about your current needs, the better we can determine if we can help you (all information remains confidential).

Please list any other clinic that you are applying to this semester, and what kind of work you are requesting they handle.

How soon do you need a lawyer?

Immediately
Within the next month
Not for a couple months
Not sure

Please describe any deadlines you are trying to meet