Small Business Clinic

Name:

MailingAddress:

City: State: Zip Code:

Phone:
           Email:

Annual Income:

If you are a nonprofit organization, or you want to form a nonprofit organization, please complete Part I of the application.  If you are a for-profit business, or you want to form a for-profit business, please complete Part II of the application.

Part I: Nonprofit organizations

Have your formed an entity?

State your organization's purpose.

Explain what services you are requesting from the Small Business Clinic, and any deadlines you may have.

Part II: For-profit businesses

Have you formed an entity, and if so, what type of entity did you form?

Do you have a business plan?

If you have a business plan, briefly summarize your plan.

Explain what services you are requesting from the Small Business Clinic, and any deadlines you may have.

By submitting this form I hereby state that the above information is true to the best of my knowledge, and give permission to the SMU Dedman School of Law Small Business Clinic to check for potential conflicts of interest between myself and affiliates, current and former clients of the Clinic, and clients of firms at which students may be working.

For questions, please call the Clinic at 214-768-4935.