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Student Legal Services UM Dearborn and UM Flint Intake Form
Student Information for Virtual SLS appointment
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* Indicates required question
Email
*
Your email
Name (Last name, First, M.I.)
*
Your answer
Local Address (Street, City, State, Zip)
*
Your answer
Permanent Address (Street, City, State, Zip)
*
Your answer
Phone Number (include area code)
*
Your answer
UM ID Number (8 digit number)
*
Your answer
Indicate which campus where you are enrolled:
Dearborn
Flint
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Date of Birth
*
MM
/
DD
/
YYYY
Preferred Pronoun
*
She/Her
His/Him
They
Other:
Major, School Department, and Expected Graduation Date
*
Your answer
What type of legal matter are you seeking a legal consultation for?
*
Criminal
Civil
Consumer
Landlord Tenant
Family Law/Probate
Immigration
Other:
Is this dispute with UM or UM Student?
*
Yes
No
Possibly/Unknown
Name of the Opposing Party/Disputing With (if none, please write "N/A")
*
Your answer
Please describe the reason for consultation
*
Your answer
Please indicate your availability for an appointment.
*
Your answer
Have you met with an SLS attorney in the past?
*
Yes
No
Are you a U.S. Citizen
*
Yes
No
Have you discussed this issue with another attorney?
*
Yes
No
How did you learn about SLS?
*
Your answer
A copy of your responses will be emailed to the address you provided.
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