Pro Bono > PTO Pro Bono > Application Submission

Application Submission

First Name: *

Middle Initial:

Last Name: *

Street Address1: *

Street Address2:

City: *

State: (DC, MD, VA, WV only)*

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Postal Code: *

Email Address: *

Daytime Phone Number: *

Gender

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Race

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Ethnicity

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Are you a veteran of the U.S. Military?

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Are you a U.S. citizen or legal U.S. resident? *

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What countries are you a citizen of if not just the U.S.?

What country are you living in? *

What languages do you speak fluently? *

What is your annual household income? (numbers only) *

How many people are in your household? *

Do you have now, or have had, the assistance of counsel with respect to a patent application? *

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Have you disclosed or published the invention? *

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Have you assigned your rights in your invention to anyone or any company? *

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Are there any time lines associated with any office actions to be aware of? *

How many patent applications have you filed? *

Do you currently have a provisional or non-provisional application filed with the USPTO? *

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If yes, and the application has been published what is the application number?

If no, have you completed the pro bono training program on the USPTO pro bono page and received a certificate of completion?

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Have you completed a prior art search? *

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If no, do you plan to do a prior art search?

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Write a brief abstract of your invention. *
Please describe the general technical area of your invention and the general improvement it provides. Do NOT include any confidential or novel features, and do NOT provide any specific details about your invention. Do not submit more than one application per invention. (1000 character limit)