Request Legal Assistance for Emerging Nonprofits Application

Your Title with or Relationship to the Organization:*

Your Email Address:*

Name of Organization:*

Federal Employer Identification Number (EIN):

County:*

Phone Number*

Fax Number:

Website Address:

Leadership Contact Information

Please provide details for two leadership-level contact people, such as Executive Director/CEO and Board President. PLEASE DO NOT LIST THE SAME PERSON TWICE.

Title:*

Work Number:*

Home/Cell Phone:*

Email Address:*

Title:*

Work Number:*

Home/Cell Phone:*

Email Address:*

About Your Organization

Please write N/A if the information is not applicable or not available.

One-Sentence Summary of Organization's Mission:*

Comprehensive Description of the Purpose and/or Mission of Organization:*

How long has your organization been in existence?*

How many Board Members are involved with your organization?*

How many Employees are involved with your organization?*

How many Volunteers are involved with your organization?*

Approximately how many people does or will your organization serve annually?*

Of the people you do or will serve, please estimate what percentage are economically disadvantaged:*

Please enter a number from 0 to 100.

What is your organization's annual or projected annual budget?*

If yes, how much?*

Please describe the specific kinds of legal assistance your organization needs:*

If you spoke with someone at Pro Bono Partnership about this matter, please indicate with whom you spoke:*

Please provide the name, telephone number, and company or law firm name for any attorney that is now helping or has helped your organization, and briefly describe the services provided and the approximate date:*

Please provide the name, telephone number, and company or law firm name for any attorney(s) that sit on the organization’s board of directors or board of trustees:*

Please tell us how you heard about the Pro Bono Partnership:*

Required Documents

Upload the following documents. Your application WILL NOT be processed until we have received the required documents.

Business Plan:

Max. file size: 256 MB.

Please explain why the Business Plan is missing:*

Proposed three-year budget:

Max. file size: 256 MB.

Please explain why the proposed three-year budget is missing:*

Any other organizational information that might be helpful to us (brochures, annual reports, program description, etc.):

Max. file size: 256 MB.

Email

This field is for validation purposes and should be left unchanged.