Inventor Assistance Program Volunteer Form
Volunteer information
Email address *
First Name: *
Your answer
Last Name: *
Your answer
Firm or Company Name: *
Your answer
Email Address: *
Your answer
Work Phone:
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Cell Phone: *
Your answer
Languages you speak fluently:
Your answer
How did you hear about LegalCORPS?
Year Admitted to Practice Law: *
Your answer
State where you hold a law license or are a practicing patent agent? *
Supreme Court ID#: (indicate state for each license number) *
Your answer
Has any disciplinary action ever been taken against you by any state bar disciplinary committee or is any disciplinary proceeding currently pending? *
If yes, explain:
Your answer
Practice areas:
USPTO Registration #: *
Your answer
Date of USPTO Registration:
Willing to provide advice/assistance for filing provisional patent applications?
Willing to provide advice/assistance to file Utility patent applications?
Willing to provide patent prosecution assistance?
Willing to conduct a prior art search?
Willing to provide advice on patent matters at in-person clinics?
Willing to provide brief advice by phone regarding patent matters?
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