Legal Clinic (DACA and Immigration Relief) on Thursday, November 19th from 4 PM to 7 PM. Please do not submit multiple responses
In order to receive services at the clinic it is required that you read this statement and type
your initials below in agreement.

I understand that:

The Neighborhood Legal Clinics (NLC) program provides advice and consultation only, meaning the attorney
I meet with will not represent me in court or provide further services outside of clinic time.

Information disclosed to NLC attorneys and staff is protected by the attorney-client privilege, but that
protection may be limited if I bring other people into the session.

I cannot return to the NLC for the same issue if that issue does not have a legal solution.

NLC is a drug, alcohol, weapon, violence, aggressive behavior and threat free space.
Please type your initials below to confirm your understanding of the above statement: *
Full Name *
Email (please ensure this is correct as we primarily communicate via email): *
Phone Number: *
If you are able to use Zoom, would you prefer to use Zoom for your appointment?
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Do you need an interpreter? *
If you checked yes above, what language do you need?
6. Will you able to scan or photograph your documents to upload to Sharepoint if we send you a link? *
7. What is the main priority for your consultation with an attorney? *
8. Do you have any particular questions or concerns you would like to discuss with an immigration attorney? An answer is not required.
9. Have you ever had contact with ICE or been placed in removal (deportation) proceedings by any immigration agency? You can VERIFY by calling 1 (800) 898-7180‬ or check EOIR online (you will need to enter your Alien number, which can be found on your work authorization or most immigration paperwork, including DACA renewal applications)
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