Please complete the form below and click SUBMIT to request legal services from IPEC. Acceptance as a client of IPEC is not guaranteed, and is based upon a variety of factors, including the availability of resources, absence of any conflict-of-interest, financial need, and educational value for our students. We will either contact you for a phone interview, or notify you that we cannot take on your matter at that time. We will not begin doing your work until we both decide that you will become a client of IPEC.

Please omit any highly confidential information.

* = Required fields
Name of individual applicant(s):*
Do you operate as a formal business entity such as a limited liability company or corporation? If so, what type?
State / Country where incorporated, formed, or principally doing business:
Name of your business and/or organization(s):
Is your matter time-sensitive? If so, please explain with dates and deadlines:*

Please provide your contact information:

Mobile Phone:
Mailing Address:
Address 2:
Website URL (if any):

Briefly describe your legal issue/question in as much detail as possible while excluding any information that you believe should be kept confidential:
Explain briefly your financial need for the clinic's services:
How did you hear about the clinic?
List all conflicting parties (including employers, business partners) or state none:*
Name any other attorney, incubator, or clinic, now or in the past, whom you have retained relating to this issue. Also, if that relationship ended, briefly explain why that relationship was terminated:


The purpose of any preliminary communications between you and the Intellectual Property & Entrepreneurship Clinic ("IPEC") is to evaluate whether IPEC can provide you with the type of legal assistance you seem to need and to check if Suffolk University Law School's Clinical Programs has any conflict-of-interest. Submitting this form does not create an attorney-client relationship or constitute a promise from IPEC, or any of IPEC's attorneys, to perform legal services for you or your organization.

Any information you include on this form will NOT be treated as privileged or confidential by IPEC, and your submission of this information to IPEC will not prevent IPEC from representing someone else in the matter.

You have the right to decline legal services from us (if offered) and to continue to look for an attorney. You are under no obligation to retain the services of any attorney(s) to whom IPEC may refer you.

IPEC cannot guarantee that it will be able to represent you, refer you to another attorney, or otherwise secure legal representation for you. In the event of a referral, IPEC does not make any representations or guarantees about the quality of legal assistance that any attorneys or others outside IPEC may provide or the outcome of any referral. If a referral is made, you will be represented by the referred attorney, not IPEC.

After completing the form above and reading the Disclaimer, check either "Yes" below to indicate that you agree with the Disclaimer, or "No" you do not agree, and click "Submit" to send us your Application.