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Pro Bono Alliance Application
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* Indicates required question
Applicants Name
*
Your answer
Business / Organization Name
*
Your answer
Business Address
*
Your answer
Contact Number
*
Your answer
Email Address
*
Your answer
Business Structure
*
Sole Proprietorship
LLC
Partnership
Corporation
Unregistered
In formation
Nonprofit
501(c)3
What is the nature / service of your business
*
Your answer
Number of Employees
*
Your answer
2021 Net Business Profit (including owners salary)
*
$1-200,000
$200,001-300,000
$300,001-400,000
$400,001-500,000
$500,001+
Required
Type of Legal Assistance Requested
*
Tax Issues
Bankruptcy
Legal issues surrounding starting a new business / organization
Employment issues (worker's compensation, employee termination, undocumented workers, etc.)
Commercial Landlord Tenant issues
Structuring financing for commercial venture
Business ownership issues (transfer of ownership, role of board of directors, ect)
Liability issues (unruly customers, public nuisances)
Required
Describe the problem(s)/issue(s) with which the AACCNJ Pro Bono Alliance might be able to assist you
*
Your answer
Have you used legal counsel on this issue in the past?
*
Yes
No
Are you a current (dues-paying) AACCNJ member?
*
Yes
No
Sign Your name
*
Your answer
Signature Date
*
MM
/
DD
/
YYYY
*Note you must be a AACCNJ member to receive this service. It may be necessary to provide further documentation of your business / organization at the time of your appointment.
AACCNJ Office 379 W. State St, Trenton, NJ 08618 Phone: 609-571-1620
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