You can always press Enter⏎ to continue

Welcome

Complete and submit this Intake Questionnaire only after you have scheduled an appointment.                                           Call (541) 346-4273 to schedule.

Accessibility

Enabled Form

Language
  • English (US)
  • Chinese
  • Spanish (Latin America)
  • Arabic‬‎
  • Japanese
  • 1
    Press
    Enter
  • 2

    Schedule an Appointment

    Call (541) 346-4273 to set up an appointment with one of our Attorneys.

    Press
    Enter
  • 3

    NON-DISCRIMINATION AND DIVERSITY STATEMENT:  The ASUO Student Legal Services Program is an ASUO Incidental Fee-funded service dedicated to serving the legal needs of UO students. We affirm the right of all individuals to equal opportunity in education, employment and access thereto without regard to race, color, cultural identity, ethnicity, religion, sex, sexual orientation, gender identity, gender expression, age, disability, mental health status, national origin, marital, family, social, economic, veteran or place of residence status, or any other consideration not directly and substantially related to elective participation. We abide by all U of O and Oregon University System regulations governing student groups, and all applicable city, state, and federal laws. We further affirm our commitment to creating and maintaining an environment that is welcoming, accessible, inclusive, equitable, and respectful for all, free from bias or harassment.

    Press
    Enter
  • 4

    YOUR PRIVACY IS IMPORTANT TO US. In order to guard your nonpublic personal information we maintain physical, electronic, and procedural safeguards that comply with the Code of Professional Responsibility that governs our profession. Please contact us with any questions that you have about protecting your privacy.

    Press
    Enter
  • 5
    Press
    Enter
  • 6
    Press
    Enter
  • 7
    Press
    Enter
  • 8
    Press
    Enter
  • 9
    Two (2) images required. Front must show your name and photo. Back must show your student ID#.
    Drag and drop files here
    Select files to upload
    Cancelof
    Press
    Enter
  • 10
    This is the address you consent to for contact by email.
    Press
    Enter
  • 11
    Please Select
    • Please Select
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
    Press
    Enter
  • 12
    This is the number you consent to for contact by phone.
    Press
    Enter
  • 13
    0/250
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 14
    Press
    Enter
  • 15
    Indicate “unknown name” or “unknown address" if you don’t know your opposing party's name or address.
    0/250
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 16
    Please select from the drop-down menu.
    Select
    • Select
    • Zoom/video conference
    • Phone
    • Office consultation
    Press
    Enter
  • 17
    Press
    Enter
  • 18
    0/250
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 19
    Press
    Enter
  • 20
    0/250
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 21
    Please select from the drop-down menu.
    Select
    • Select
    • Website
    • Social Media
    • Another student
    • UO faculty or administrator
    • Student group
    • Other
    Press
    Enter
  • 22
    Press
    Enter
  • 23
    Press
    Enter
  • Should be Empty:
http://asuolegal.org/intake-questionnaire/
[Edit]
Question Label
1 of 23See AllGo Back
close