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Inventor Assistance Program Volunteer Form
Volunteer information
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Email
*
Your email
First Name:
*
Your answer
Last Name:
*
Your answer
Firm or Company Name:
*
Your answer
Email Address:
*
Your answer
Work Phone:
Your answer
Cell Phone:
*
Your answer
Languages you speak fluently:
Your answer
How did you hear about LegalCORPS?
from a colleague
from a client
LegalCORPS website
Other:
Clear selection
Year Admitted to Practice Law:
*
Your answer
State where you hold a law license or are a practicing patent agent?
*
Minnesota
North Dakota
South Dakota
Iowa
Wisconsin
OTHER (must be U.S. license)
Supreme Court ID#: (indicate state for each license number)
*
Your answer
Has any disciplinary action ever been taken against you by any state bar disciplinary committee or is any disciplinary proceeding currently pending?
*
Yes
No
If yes, explain:
Your answer
Practice areas:
Intellectual Property - Copyright/Trademark
Intellectual Property - Patents
USPTO Registration #:
*
Your answer
Date of USPTO Registration:
MM
/
DD
/
YYYY
Willing to provide advice/assistance for filing provisional patent applications?
Yes
No
Clear selection
Willing to provide advice/assistance to file Utility patent applications?
Yes
No
Clear selection
Willing to provide patent prosecution assistance?
Yes
No
Clear selection
Willing to conduct a prior art search?
Yes
No
Clear selection
Willing to provide advice on patent matters at in-person clinics?
Yes
No
Clear selection
Willing to provide brief advice by phone regarding patent matters?
Yes
No
Clear selection
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