Student Legal Services Intake Form
This form will help Student Legal Services determine whether you are eligible to use our services. Any responses you give in this form will be kept CONFIDENTIAL. This form is for new issues; If you already have an open case with an attorney, please return to asun.unl.edu/sls and choose "Request a Follow-Up Appointment."
NCARD NU ID#
Your answer
Full Name
Last, First, Middle Initial
Your answer
Gender
Address
Ex: 42 Wallaby Way, Apt 9
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Date of Birth
MM
/
DD
/
YYYY
Year in School
Fraternity/Sorority
Your answer
Cell Phone Number
Format: 555-555-5555
Your answer
Email Address
Your answer
May we leave a voicemail if necessary?
Are you a U.S. Citizen?
Would you like to add a permanent address different from your current address?
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