This form will help CULI to learn more about your organization and its legal needs, in order to determine whether we can provide you with assistance. Please include all information that you think might be helpful. If you are hoping to start up a new nonprofit organization, please try to answer as many questions as you can. We ask all start-ups to attend a free seminar we provide that gives you an overview of the entire start-up process before we will accept you as a client. In addition, each new start-up client must have a projected (or aspirational) 3-year budget and a narrative description of your specific activities before we will work with you. We can answer many questions at the seminar.

    Organization's Mission

    Describe the purpose or mission of your organization.*

    Please select that best applies.

    Which category best describes your organization?

    If other please specify:

    Legal Project

    Please describe in detail the type of legal assistance you are requesting.*

    Do you need assistance starting a nonprofit?YesNo
    If yes: Have you attended any seminars on this subject?YesNo

    Are there other individuals or organizations directly involved in the legal matter with which you are requesting assistance (e.g., other parties to a contract)?YesNo
    If so, please list.

    About Your Organization

    How many years has your organization existed?

    Is your organization incorporated?YesNo
    If yes, Year:


    Name as it appears on file with the Secretary of State (if different from above).

    Is your organization tax-exempt?YesNo
    If yes:501(c)(3)501(c)(4)Other
    If other please specify:

    Date of Determination Letter:

    How many people are involved in running the organization?

    Number of Board Members:

    About how many people does your organization currently serve?

    Where does it provide services?

    What is the organization's annual budget (current or proposed)? $

    Is there a line item for legal fees?YesNo
    If yes, how much? $

    Please provide the name, phone number and affiliation of any lawyer who is now helping or has helped your organization or who sits on your organization's board of directors. Briefly describe the service provided and the dates of service during the last three (3) years. Please advise whether the services were provided pro bono.

    If your organization paid standard legal fees for the project requested in this application, would such payment significantly deplete the organization's resources or otherwise be inappropriate?

    Does your organization currently use a fiscal sponsor?YesNo
    If yes, please name organization:

    How Did You Hear About Us?

    Please tell us how you heard about CULI:
    If other, please describe:

    Client Census (not required)

    Our organization primarily serves the following populations: AsianHispanicAfrican-AmericanNative American IndianOther
    If other, please describe:

    Our organization primarily serves the following age group(s): ChildrenYouth/TeensElderlyAll ages

    Demonstrate you're not a computer filling out this form by entering the following letters into the box below: