HL BaSE Training: Pro Bono Assistance Application Form

Name of social enterprise:
(full registered legal name and any trading name(s))

Social entrepreneur(s):
(full name(s))

Contact address:

Telephone number:

Email address(es):

Social enterprise website address and any social media handles:

Description of your social enterprise:
Please explain clearly: what your social enterprise was set up to achieve, what your social impact is and how you generate income (or hope to in the future).

Business Model:

Social Impact:

Is the enterprise working to further the Sustainable Development Goals?

Current number of beneficiaries reached:

Your current enterprise legal structure and, if applicable, registration number and country of registration:

Annual turnover (as shown in the most recent accounts):

Profit distribution:
Has the social enterprise made a formal commitment to invest any of its profits into its social mission or to benefit the community? For example, is this mandated in the constitution, or an inherent feature of the legal structure? To what proportion of profits does this commitment apply?

Do you have any investors (debt or equity)?

How many people (full time equivalent) do you employ?

Names of all parties involved in the legal matter for which you are requesting pro bono assistance:
(For example, who is the other party (or parties) to the contract / lease / issue? This is essential for our conflicts checking process. If there are none, please state this.)

Details of legal advice required:
Please provide as much detail as possible (including any key dates/deadlines). If you have multiple legal needs, please indicate your priorities.

Please note: an HL BaSE trainee / junior lawyer team would provide pro bono support for one agreed piece of legal work. A legal needs analysis will be conducted during the workshop, to identify the legal issue with which we are best able to support.

Jurisdiction of advice required:
(For example, where are the parties who are involved, and which countries' laws might apply?)

How did you learn about HL BaSE?

Notes:

Your personal information will be used in accordance with our Privacy Policy.

All information provided about the legal advice that your social enterprise is seeking will be kept confidential.

We will contact you after we have reviewed your social enterprise's application. Before offering a place to a social enterprise, we will arrange a short phone call with a member of the HL BaSE team; this will allow us to request any further information required and answer any queries about the support available. We will then confirm whether we are able to offer your social enterprise a place on the programme.