Legal Clinic Intake Form
Thank you for your interest in the Black-Owned Small Business and Nonprofit Clinic hosted by Bradley Arant Boult Cummings LLP in partnership with the Arts & Business Council of Greater Nashville. The clinic on Monday, January 18th at noon is now full, and the next clinic will be on Thursday, February 18. Eligible businesses may receive up to one hour of pro bono legal assistance. Appointments are first come, first served. If you have any questions while completing this form, please reach out to our team at
First Name *
Last Name *
Contact Phone Number *
Contact Email *
Name of Business *
Business Mailing Address *
I am a(n) *
Type of Business/Industry *
What is the percentage of African American ownership in the business? (If you have not yet started your business, please list the expected ownership). *
How many employees does the business have? (If you have not yet started your business, please list the expected number of employees). *
What is the business' annual revenue? (Based on most recent tax filings. You may be asked to submit documentation. If you have not yet started your business, please enter a projected revenue amount for your first year). *
Please describe your legal issue and/or questions. *
In order to qualify for this legal clinic, your business must have 51% or greater African American ownership, less than ten employees, and less than one million dollars in annual revenue. If your company does not meet one or more of the above criteria but you would still like to be considered for the legal clinic, please identify which requirement you do not meet and detail any exceptions that may qualify your need for the services.
The upcoming clinic will be held on Thursday, February 18. Please indicate your availability below. *
Submitting your request for legal services does not automatically make does not create any attorney-client relationship between you and VLPA, Bradley Arant Boult Cummings LLP, or their employees, directors, officers, or contributors to this website. By checking "Yes" below, you indicate that you have read the statement above and understand that submitting your application does not create an attorney-client relationship or guarantee assistance through this Legal Clinic program. *
By checking "Yes" below, you hereby affirm that the above information is correct and complete, to the best of your knowledge and ability. *
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