Contact ID
Program Engagement ID
Virtual Legal Clinic ~
REGISTRATION
Thursday, September 3, 2026
5pm - 7pm
First Name
Last Name
Phone Number
Email
Your Birthdate
Your Mailing Address
Street Address
City
State
Zip Code
Issue(s): Select all that apply
Eviction
Housing Conditions
Other Landlord/Tenant Issue
Intimate Partner Abuse
Other
Explain your issue(s) briefly and let us know if there are any upcoming court dates.
Name of adverse party (name of housing complex, landlord, or other person if an issue of abuse)
We cannot guarantee a specific time slot, but please check your preferences below. You will be contacted before the clinic with your exact time slot and the virtual link.
5:00pm
5:20pm
5:40pm
6:00pm
6:20pm
6:40pm