Applicant Intake Form

PLEASE READ BEFORE COMPLETING THE INTAKE FORM

The information you enter here will be collected and stored securely on this platform (Eventeny). We will never share or sell any of your information. All of the data is necessary for the completion of the petition and order required to file for your name and/or gender marker changes, so it is very important that all of the information is entered correctly and truthfully.

You will get the clinic location address emailed to you no later than 24 hours before the clinic you signed up for.  For your planning purposes. the clinic will be held on Saturday, April 20 from 10am to 2pm in the Frisco, Texas area. The information will be emailed to the email address you have provided (please remember to check your spam folder if you don't see our email). If you do not receive an email with location details AND it is less than 24 hours before the clinic you signed up for, email clinic@dallaslgbtbar.org. 

Once you hit submit on this form you will get an automated email from Eventeny. You will NOT get information for the Clinic until the Thursday before.

Clinic Attendance - READ CAREFULLY

We are not a virtual clinic.

Our clinic is an in-person clinic and will be held in the Frisco, Texas area.  You will get the clinic location address emailed to you no later than 24 hours before the clinic you signed up for.

Our goal is to get your name and/or gender marker change petition completed onsite.

LATE

If you are late to your scheduled time block, we will do our best to accommodate you as a walk-in. However, arrival at 2:00 pm or later will need to be rescheduled for our next clinic.

CANCELLATION

We are working to accommodate as many participants as possible and ask that if you need to cancel your appointment, please email us at clinic@dallaslgbtbar.org.

PLEASE READ BEFORE COMPLETING THE INTAKE FORM

Applicant Statement of Understanding

Read this statement. The application will ask for your signature, which will indicate you have read and understand this statement.

●  Both name change orders and gender marker change orders are granted by a judge. Judges have the discretion to choose to either grant or deny petitions for name change orders and gender marker change orders. 

●  A name change order will permit the petitioner to then alter their name on state-issued forms of identification. A gender marker change order generally supports the petitioner in altering their gender marker on state-issued forms of identification. 

●  Although the order is a binding order of a Texas district court of general jurisdiction, it is not an absolute guarantee that state entities will immediately adjust a petitioner’s gender marker in accordance with the order. 

●  Parties who conduct background checks may still be able to see that the petitioner’s name or gender has changed. 

Information about the Dallas LGBT Bar Assoc. Name and Gender Marker Clinic (the "Clinic") 

● The purpose of the Clinic is to provide information and advice on your petition for name and/or gender marker change so that you have the information you need in order to represent yourself. Clinic volunteers will not be representing you in your name and/or gender marker change.

● The Clinic may seek a pro bono attorney to further assist you if you request it and are eligible to receive pro bono assistance. 

Agreement with Individual Seeking Name and/or Gender Marker Change (the "Applicant") 

● The Clinic will assist Applicant only in the process of preparing the petition and identifying the supporting documents necessary for a name and/or gender marker change. The Clinic will not represent the applicant in any other matter unless a new Applicant Statement of Understanding is signed. Other matters include but are not limited to representation at the hearing on the petition for name and gender marker change, a lawsuit, adversary proceeding, mediation, arbitration, agency proceeding, appeal, or enforcement of a judgment. 

● The Clinic will maintain the confidentiality of all applicant information. Applicant information will be maintained in compliance with the standards of the Texas Disciplinary Rules of Professional Conduct. 

● The Clinic’s assistance is free, but the Clinic will not cover the fees, fines, or other costs associated with filing a petition for name or gender marker change, or fees charged in the process of updating various forms of identification. The Clinic will, however, assist Applicant in pursuing a waiver of court filing fees associated with the name and/or gender marker change petition if appropriate—but the court ultimately decides whether to grant relief from fees. 

● Applicant agrees that the Clinic will assign lawyers and law student volunteers to assist Applicant in the process of preparing the petition for a name and/or gender marker change. The Clinic agrees that all lawyers and volunteers will follow the Texas Disciplinary Rules of Professional Conduct and this Statement of Understanding. 

● The Clinic may stop assisting Applicant if allowed by the Disciplinary Rules of Professional Conduct. 

● Applicant will promptly tell the Clinic if any reporter or adverse party tries to contact Applicant. Applicant will notify the Clinic prior to contacting any reporter or adverse party. 

● Applicant is encouraged to refer interested parties to the Clinic. But Applicant will not disseminate documents filed in court to parties outside of the courts, agencies that must be notified to update identifying information, or the Clinic. 

● Applicant will ensure that the Clinic always has a way to contact Applicant, work to get all documents and information that the Clinic requests in a timely manner, and promptly attend all meetings and court proceedings. 

● Applicant will notify the Clinic of any dates and times of court or administrative hearings held in Applicant’s case by email to clinic@dallaslgbtbar.org. 

By applying and signing this application electronically, I have read and agree to the Applicant Statement of Understanding.