For Attorneys & Patent Agents If you’re interested in offering Pro Bono legal work for low-income inventors and startups, fill out the following form. Step 1 of 4 25% Salutation*Mr.Ms.Mrs.Dr.Prof.Hon.First Name*Middle Initial*Last Name*Law Firm / Organization*Title (if applicable)e.g. Partner, Associate, General CounselBirthday* Preferred Email Contact*WorkPersonalWork Email*Work Mailing Address*Street AddressAddress Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificStateZIP CodePersonal EmailPersonal Mailing AddressStreet AddressAddress Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificStateZIP CodePreferred Phone*Work PhoneMobile PhoneThird ChoiceWork Phone*FaxMobile Phone Basic InformationAttorney/Volunter Type*Attorney (Private Practice)Attorney (In-House Counsel)Attorney (Government)Attorney (Other)JudgeLaw StudentPatent AgentParalegalPro Bono CoordinatorCommon Foreign Languages SpokenAmerican Sign LanguageAmharicArabicCantoneseFarsiFrenchFrench CreoleGermanHindiItalianJapaneseKoreanMandarinPolishPortugueseRussianSpanishTagalogVietnameseHold down CTRL (PC) or CMD (Mac) to select multiple.My firm / I would like to receive pro bono referrals*YesNoMy firm/company covers malpractice insurance.*YesNoI am interested in volunteering at events and fundraisers (apart from providing legal assistance).*YesNoGender*MaleFemaleOtherI prefer not to sayEthnicity*African American/BlackAsianCaucasian/WhiteLatino/HispanicMulti-RacialNative AmericanPacific IslanderOtherFor grant-writing purposes, we ask you to choose one.Are you a U.S. veteran?YesNoAttorney / Judge InformationAre you licensed to practice in Missouri?*YesNoOther Bar AdmissionsAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGuamGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificHold down CTRL (PC) or CMD (Mac) to select multiple.Law SchoolLaw School Graduation Year Referrals SectionPractices Areas I/We Are Willing To Work On:*BankruptcyContracts - DraftingContracts - ReviewCorporateCriminal LawFamily LawFirst AmendmentHealthcareImmigrationInsuranceIP - CopyrightIP - LicensingIP - Patent Lit.IP - Patent Prosecution*IP - Trademarks*IP - Trade SecretsLabor & EmploymentLitigationMediation/ArbitrationNon-ProfitsPersonal InjuryReal EstateSports/EntertainmentTaxTrusts & EstatesOther than Patent matters, are there areas of law you absolutely cannot work on*YesNoKeep in mind that we will always try to match cases by the areas you select above. (E.g. If you do not choose "Criminal Law," we would likely never contact you about a criminal matter.) We only want to know if there is some area of law that is related to those selected that you will not handle. For example, if you practice Copyright Law, but will not review contracts, we would like to know that.UntitledBankruptcyContracts - DraftingContracts - ReviewCorporateCriminal LawFamily LawFirst AmendmentHealthcareImmigrationInsuranceIP - CopyrightIP - LicensingIP - Patent Lit.IP - TrademarksIP - Trade SecretsLabor & EmploymentLitigationMediation/ArbitrationNon-ProfitsPersonal InjuryReal EstateSports/EntertainmentTaxTrusts & Estates Do you have experience or expertise withCorporate FormationConsignment of Art/VARACrowdfundingDMCA/TakedownsFim/Television IndustryLiterary/Publishing IndustryMusic/Recording IndustrySocial MediaTheatre IndustryHow did you hear about our program?Another Non-ProfitBar Association of Metropolitan St. LouisAttorney ReferralCommunity Outreach EventMissouri Bar AssociationLegal Services of Eastern MissouriGatewayVMS WebsiteGovernment AgencyOther Bar AssociationOther