• Entrepreneurial Legal Services Clinic & Intellectual Property Clinic Application

    To be considered for acceptance as a client, you must complete this form and return it to the Clinic. Acceptance as a client of the Clinic is not guaranteed, and is ultimately based upon available resources and time to provide services, absence of conflicts of interest, financial need of the client, and educational value for our students. Applicants for services are hereby notified that the University of Missouri-Kansas City and the Clinic do not discriminate on the basis of race, color, creed, sex, sexual orientation, age, national origin, disability or Vietnam era veterans' status in admission or access to, or treatment or employment in, its programs and activities.
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  • Financial Information

    Per your Adjusted Gross Income on your Personal 1040 Tax Return
  • Demographic Information

    (This information is collected for demographic purposes only; it is anonymous and does not affect your acceptance as a client.)
  • Required for Conflicts Checks


  • I hereby state the above information is true to the best of my knowledge, and give permission to the Entrepreneurial Legal Services Clinic and Intellectual Property Clinic to check for potential conflicts of interests between myself and affiliates, and with current and former clients of the Clinic, clients of firms at which students may be working, UMKC ,and the University of Missouri. I further confirm that I understand that work in the Entrepreneurial Legal Services Clinic and Intellectual Property Clinic is performed by law students under the supervision of licensed attorneys and therefore I may experience a delay due to the work being completed by said students.

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