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Lawyers for a Sustainable Economy Questions for Intake Form
Note:
Do not use this form to submit
High Risk Data
.
Please fill out as much as you can on the following form
Direct any questions to Molly Melius at lawyersforsustainability@law.stanford.edu. Our goal is to help as many entities as possible, so please submit the form even if you cannot complete all of the questions or upload the requested documentation.
Section 1A: Personal Contact Information
Name
*
First
Last
Email
*
Job Title
*
Address
*
City
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
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
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Direct Phone
*
Please include country dialing code.
Mobile Phone
Please include country dialing code.
Section 1B: Entity Contact Information
Entity Name
*
Entity Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
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
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Website
*
Please enter the full URL (e.g. http://www.organisation.org).
Telephone
*
Please include country dialing code.
Section 2: Entity Details
1. What best describes your entity? (select one of the following)
*
Nonprofit organization directly serving the needs of marginalized, disenfranchised, or disadvantaged groups in a way that advances a sustainable economy (e.g., a nonprofit developing community solar projects to bring clean energy to residents of public housing);
Nonprofit organization directly securing or protecting civil rights, civil liberties, or public rights, which include environmental and public health matters (e.g., a nonprofit advocating for increased public investment in energy efficiency as a way to improve the environment or public health);
Other nonprofit involved in grantmaking or education efforts related to advancement of a more sustainable economy;
Newly-formed for-profit entity focused on advancing a sustainable economy and begun by low-income entrepreneurs who, as individuals, may be income-eligible for pro bono legal services; or
Mission-aligned for-profit entity that is formed and operates primarily to advance a sustainable economy and, where: (1) The business venture has as its primary mission and purpose the enhancement of the economic, health, or social condition of low-income and disadvantaged people and groups or of the environment; (2) The revenues from the business venture, if any, are used directly to support this mission; (3) The business venture does not have sufficient operating funds to pay for legal and other professional services without sacrificing its mission; and (4) The pro bono relationship is time-limited, to last only until the business can pay for counsel without sacrificing its mission.
Tribal entity other governmental entity serving the needs of marginalized, disenfranchised, or disadvantaged groups in a way that advances a sustainable economy or protects environmental and public health.
2. Describe your organization:
*
Please limit to 300 words. In your description, include: year of founding, number of employees, place(s) of operation/incorporation and type of work.
3. Describe the legal matter(s) for which you need counsel:
*
Please do not include any confidential or privileged information. Please limit to 200 words. Include: relevant details including timeline and related and/or adverse parties.
4. Describe how support with this legal matter will contribute to a more sustainable economy: (e.g. address climate change)
*
Please limit to 200 words.
5. Have you received any other legal services with respect to your business or organization or with respect to the particular legal need you are seeking help with today?
*
Yes
No
Please provide details below:
*
Which law firm or non-profit organization? Was it pro bono or paid? Was it a brief consultation or a longer-term representation? What topics did you discuss and what legal work product did they provide? Has the business ever been involved in any litigation (if so, describe)? Please do not include any confidential or privileged information. Please limit to 150 words.
Section 3: Entity Registration Details
6. What year was your entity registered to operate?
*
7. Please provide your business or charity registration number and specify the country or jurisdiction where your entity is registered.
*
(e.g. Employer Identification Number (EIN))
8. What type of legal entity is your entity registered as?
*
C Corp
S Corp
California Social Purpose Corp
Partnership/LLP
LLC
Sole Proprietorship
501(c)(3)
Public Benefit Corporation
Other
9. What is your annual budget for the current or most recent fiscal year?
*
Public information only. Please do not include private or confidential details.
10. Number of paid staff?
*
Public information only. Please do not include private or confidential details.
11. Number of volunteers?
*
Public information only. Please do not include private or confidential details.
Section 4: Supporting Documents
12. Founding document
Drop files here or
Select files
Max. file size: 2 MB.
(e.g. Certificate of Incorporation, Memorandum and Articles of Association, or the equivalent)
13. Most recent annual report or other similar report
Drop files here or
Select files
Max. file size: 2 MB.
14. Most recent public financial statement or annual budget
Drop files here or
Select files
Max. file size: 2 MB.
Public information ONLY. Please DO NOT include private or confidential documentation or details.
15. Additional documentation:
Please upload here any additional documents you would like us to consider in reviewing your application for eligibility (in particular for for-profit entities, this could include any documentation of your entity’s commitment to sustainability, including a statement in the annual report or a link or screenshot of this public commitment as stated on your website).
Drop files here or
Select files
Max. file size: 2 MB.
16. How did you hear about this initiative?
*
Include here any additional comments:
Please provide any additional information you would like us to consider.
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