Personal Information Form Thank you for your enquiry with the Law Clinic. Please read the following information before proceeding. The Law Clinic is a student run free legal advisory service clinic offering written advice only. Such written advice will be sent to the email address stated below within 20 working days from the date of initial interview, unless indicated otherwise. The Law Clinic is supervised by qualified Solicitors, and is by pre-arranged appointment only. Due to the free nature of the Law Clinic and that it is supervised by Solicitors employed by Edge Hill University, it may in some circumstances be necessary to decline to offer an interview and/or legal advice. So that we may assess whether we are able to offer an interview, we would ask that you complete and submit the Personal Information Form. Please select your Pronouns % She/Her He/Him They/Them First Name: Surname: Address: Date Of Birth: Please use the calendar icon   Student/Staff/Other? **Please Select** Student Staff Other If you are a student or staff member, please input your Student ID or Payroll number:   Contact Phone Number: Email: If you are a student or staff member please use your Edge Hill email address   How did you hear about the Law Clinic? Please Select Social Media Electronic noticeboard Staff weekly newsletter Edge Hill University website Student Services Other - please state If Other, please state   Summary of legal matter on which advice is requested: (Please write 3 or 4 sentences to give us a clear idea of the matter) 0 of 200   Is there an opponent? Yes No Opponent Name Address Postcode Relationship of Opponent Is your opponent connected to Edge Hill University eg a member of staff or student? Y N   Has advice been sought elsewhere?: Y N   If yes, with whom?:   Is any other solicitor under instruction in this matter?: Y N   Please indicate any times when you are not generally available for an interview: Press Ctrl or cmd and left click to select more than one Monday AMMonday PMTuesday AMTuesday PMWednesday AMWednesday PMThursday AMThursday PMFriday AMFriday PM   Interview Type Face to Face Online Don't Mind your preference can not be guaranteed due to solicitor availability Please indicate if you require wheelchair access Y In the event of any technical issues, please email Law Clinic with a full description of any error messages you may have received.