Intake Questionnaire

Open Office Hours

We hold on-campus office hours during the fall and spring semesters, accepting both walk-ins and scheduled appointments. To contact the clinic, please complete the questionnaire below. Skip to questionnaire

BU Office Hours

MIT Office Hours

Jan. 22, BU, Thurman Center, Room 218

2pm–5pm

Jan. 23, MIT, Media Lab E14-5-514B

10am–1pm

2pm–5pm

Jan. 23, MIT, E38-572

10am–1pm

2pm–5pm

Jan. 29, BU, Thurman Center, Room 218

2pm–5pm

Jan. 30, MIT, 45-205

10am–1pm

2pm–5pm

Jan 30, MIT, E40-166

10am–1pm

2pm–5pm

Feb. 5, BU, Innovate@BU

2pm–5pm

Feb. 6, MIT, 11-101

10am–1pm

2pm–5pm

Feb 6, MIT, E140-166

10am–1pm

2pm–5pm

Feb. 12, BU, Thurman Center, Room 218

2pm–5pm

Feb. 13, MIT, [Room TBD]

10am–1pm

2pm–5pm

Feb. 13, MIT, 45-205

10am–1pm

2pm–5pm

Feb. 19, BU, [Room TBD]

2pm–5pm

Feb. 20, MIT, [Room TBD]

10am-1pm

Feb. 20, MIT, Media Lab E14-5-514B

10am-1pm

Feb. 26, BU, Thurman Center, Room 218

2pm–5pm

Feb. 27, MIT, [Room TBD]

10am–1pm

2pm–5pm

Feb. 27, MIT, E38-572

10am–1pm

2pm–5pm

Mar. 5, BU, Innovate@BU

2pm–5pm

Mar. 6, MIT, [Room TBD]

10am–1pm

2pm–5pm

Mar. 6, MIT, E40-166

10am–1pm

2pm – 5pm

Mar. 19, Innovate@BU

2pm–5pm

Mar. 20, MIT, DesignX

10am–1pm

2pm–5pm

Mar. 20, MIT, Media Lab E14-5-514B

10am–1pm

2pm–5pm

Apr. 2, BU, [Room TBD]

2pm–5pm

Apr. 3, MIT, [Room TBD]

10am–1pm

2pm–5pm

Apr. 3, MIT, E38-572

10am–1pm

2pm–5pm

Apr. 9, BU, Innovate@BU

2pm-5pm

Apr. 10, MIT, [Room TBD]

10am-1pm

2pm-5pm

Apr. 10, MIT, 45-205

10am-1pm

2pm-5pm

Apr. 16, BU, Innovate@BU

2pm–5pm

Apr. 17, MIT, [Room TBD]

10am–1pm

2pm–5pm

Apr. 17, MIT, Media Lab E14-5-514B

10am–1pm

2pm-5pm

Intake Questionnaire

Please note that the BU/MIT Student Innovations Law Clinic only represents currently-enrolled students at BU or MIT or projects and ventures that are led or founded by a currently-enrolled BU or MIT student. If you are not a currently-enrolled student at BU or MIT, please do not fill out this form.

Client Infomation
Name of Client*
If you are requesting help on behalf of a group or entity, please use that group/entity’s full name. If you are incorporated, use the corporation’s name.
Primary Contact
Full name*
Preferred name/ nickname
Pronouns
Address
Street Address Address Line 2 City State ZIP Code
Personal/Venture Email*
Phone
University:*
Course / Department / College:*
Degree Pursued:*
Please note that the BU/MIT Student Innovations Law Clinic only represents currently-enrolled students at BU or MIT
Other Degree*
Anticipated month and year of graduation*
If you are requesting help on behalf of an organization, entity, or group project, what is your role within it?
Legal Question
Please share some background on your project, venture, or other activity related to your legal question. Please include whether aspects of your activity are presently operating or active. Do not disclose any information that you believe to be confidential.*
Briefly describe your legal problems, questions, or concerns. Do not disclose any information that you believe to be confidential.*
Please note any upcoming firm deadlines related to your legal questions.*
Other
Have you or any member of your team worked with the BU/MIT clinical program before? If so, please explain.*
The BU/MIT clinical program have previously included the BU/MIT Technology Law Clinic and BU/MIT Startup Law Clinic
Have you previously worked with any other attorneys or legal services related to this project? If so, please describe.*
How did you find out about us?
Notices
The purpose of this form is to gather initial information to assess whether the BU/MIT Student Innovations Law Clinic (the “Clinic”) is able to represent you in your matter and whether there exist any potential conflicts-of-interests.

Communication via the Internet or this form does not establish an attorney-client-relationship, nor does it guarantee that Clinic or any of its constituents will be able to represent you in this or any other matter.

You are under no obligation to retain the services of the Clinic or any attorney(s) referred to you by the Clinic. You can always obtain counsel from any other source.

If the Clinic refers you to another attorney, you will be represented by that attorney, and not the Clinic. The Clinic makes no guarantees about the nature of legal assistance that attorney may provide.
PLEASE CHECK BOX BELOW INDICATING THAT YOU HAVE READ AND UNDERSTAND ALL OF THE NOTICES ABOVE.*
- Yes