Entrepreneur Assistance Clinic

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Entrepreneur Assistance Clinic Submission Form

BOI UPDATE: In light of a recent federal court order, domestic companies are not required to file beneficial ownership information (“BOI”) with FinCEN. More information can be found here: https://www.fincen.gov/boi

Entrepreneur Assistance Clinic

Step 1 of 2

50%

How do you qualify for pro bono assistance?*
- PSU student
- PSU staff/faculty
- participant in a Penn State LaunchBox program
- personal income less than $100,000 (for each applicant, or a total of $200,000 for two or more applicants)
The EAC aims to assist clients who otherwise would not have access to legal counsel. It is not a service to cut legal fees; if you can afford to retain outside counsel, you should. The Clinic's goal is to assist clients who do not have access to legal counsel.
Specify the name of contact referral from LaunchBox:*
Email address of contact referral from LaunchBox:*

1. Describe the nature of your business—as conducted now or planned (e.g., childcare, restaurant, home repair, etc.)*
2. Types of legal services that you seek from the Clinic*
3. Names of applicants*
4. Email address for each applicant (Please enter correctly as this is how we will contact you)*
5. Whether a legal entity for the business has been formed, and if so, the name of the entity*
6. Principal location of the business (county)*
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6. Geographic location (county) of the applicants and the business*
7. Any connection to Pennsylvania (e.g., resident) or to Penn State (e.g., alumni, faculty, student, staff, etc.)*
8. Whether the applicants are students, and (a) if so, what schools, and (b) if at Penn State, what colleges and campuses within Penn State*
9. Whether you are working with a PA Small Business Development Center ("SBDC")*
- Yes
- No
9(a). Specify which SBDC*
10. Any participation in programs at a PSU LaunchBox and/or Innovation Hub?*
- Yes
- No
10(a). Specify which Launchbox / Innovation Hub*
11. How did you hear about the Clinic (e.g., referral by an SBDC, Smeal, economic development group, another client, etc.)*
12. Specify which, if any, of the following categories may apply to you: company owned and controlled by*
- a woman/women
- a person/people of color
- LGBTQ+ individuals
- US veterans
- person with disabilities
- N/A
We record this information to advise whether applicants or the clinic may qualify for governmental programs available to diverse business enterprises.
Veteran status?*
- yes, one or more of applicants are veterans
- not applicable
check this box if any of the business owners are veterans (Department of State offers fee waiver for company formation)
13. Whether the applicants are US citizens or permanent residents (this relates to potential visa issues)*
14. Whether the applicant has been or is being advised by other lawyers with respect to the current business?*
15. The EAC works with various organizations that assist clients with different funding options. Do you intend to seek funding from outside sources for your business within the next 24 months?*
- Yes
- No
16. Client's physical address:*
17. Client's phone number*

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123 S. Burrowes Street, 2nd Floor
State College, PA 16801

(814) 865-7134 (Option 1)

Invent Penn State is a Commonwealth-wide initiative to spur economic development, job creation and student career success.

This project was financed in part by a grant from the Commonwealth of Pennsylvania, Department of Community & Economic Development.

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