Student Legal Services Intake Form

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This form will help Student Legal Services determine whether you are eligible to use our services. Any responses you give in this form will be kept CONFIDENTIAL. This form is for new issues; If you already have an open case with an attorney, please return to asun.unl.edu/sls and choose "Request a Follow-Up Appointment."

NCARD NU ID# *

First Name *

Last Name *

Gender *

Other:

Address *

Ex: 42 Wallaby Way, Apt 9

City *

State *

Zip Code *

Date of Birth *

Mobile: Tap year to select year of birth

YYYY

Year in School *

Graduate

Cell Phone Number *

Format: 555-555-5555

Email Address (Your attorney will use this address to communicate with you) *

Are you a U.S. Citizen? *

Yes

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