JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Request for Pro Bono Legal Services
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Organization Name
*
Your answer
Phone Number
*
Your answer
Street Address:
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Organization Website
*
Your answer
Description of Environmental Purpose and Activities
*
Your answer
Description of Legal Services Requested
*
Your answer
General Types of Legal Service(s) Requested
*
Incorporation Advice
Tax Advice
Intellectual Property Advice
Patent Advice
Nonprofit Advice
Employment Advice
Contract Review or Drafting
General Corpropate Advice
Fundraising Advice
Advocacy or Litigation
Other:
Required
Have you engaged any other law firms or lawyers on behalf of this organization / project?
*
Yes
No
If you answered yes to the above, which lawyers or law firms have you worked with?
Your answer
What is the size of your team (i.e. how many team members do you currently have)?
*
Your answer
Do you need to meet any deadlines related to this advice?
*
Your answer
What type of entity is your organization?
*
Sole Proprietorship
501(c)3)
501(c)(4)
S-Corporation
C-Corporation
B-Corporation
Partnership
LLC
Not yet incorporated
Do not plan to incorporate
Other:
State / Country of Incorporation (If not incorporated, please write N/A)
*
Your answer
What is your organization's total yearly income from all sources (including sales, grants, prizes, and any self-provided funding)? If applying as an individual or for-profit social enterprise, please also state your personal yearly income for the previous tax year.
*
Your answer
Is your organization a subsidiary of another company?
*
Yes
No
How did you hear about Green Pro Bono?
*
Recommendation of Current or Former Client
Internet Search Engine
Through a Referral Partner (i.e. accelerator program, incubator, university, bar association, Paladin, law firm, etc.)
Demographic Questions
The following questions are designed to help GPB understand the demographics of the communities we are assisting and improve our outreach. All information will remain confidential and will not impact your application for legal services in any way. All questions should be answered from the perspective of the person filling out this form.
What is your role in the organization?
Founder
Executive
Managerial
Operational / Administrative
Intern
Volunteer
Other:
Clear selection
What is your age group?
18-25
26-49
50+
Prefer Not to Answer
Clear selection
How do you identify?
Male
Female
Transgender
Non-Binary
Prefer Not to Answer
Other:
Clear selection
Which of the following best describes you?
Asian
Pacific Islander
Black
Latinx
American Indian
White
Multiracial or Biracial
Prefer Not to Answer
Other:
Clear selection
What was your total annual income last year?
$0-$30,000
$30,000-$60,000
$60,000-$90,000
$90,000-$120,000
Above $120,000
Other:
Clear selection
Please affirm that you have read and agree to the
Green Pro Bono Request for Services Agreement
before submitting your application.
*
I have read and agree to the Green Pro Bono Request for Services Agreement.
Required
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Green Pro Bono, Inc..
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report