Be a Mentor

MENTOR APPLICATION FORM

After filling in the form below, click the OK button to submit your application.

First Name
Middle Initial
Last Name
Business Address
Address Line 2
Business City
Business State
Zip Code
Business Email Address
Daytime Phone
Alternate Phone

What is your practice setting? Check all that apply.

Large Firm (26 +)
Mid-Size Firm (11-25)
Small Firm (2-9)
Solo Practitioner
Tribal Government
Corporation
Government (Federal, State, & Municipal Agencies)
Public Interest
District Attorney
Public Defender
Other

What is your area of law? Check all that apply.

ADR / Mediation
Alternative Career
Business / Corporate Law
Criminal Law
Civil Rights Law
Energy / Environmental Law
Estate Planning
Family Law
Health Law
Immigration Law
Insurance Law
Intellectual Property
Litigation
International
Native American Law
Real Property / Real Estate Law
Tax Law
Torts
Worker's Compensation
Other

Did you ever attend law school as a part-time student? Yes No

Did you attend TU Law? Yes No

What year did you graduate?

I am willing to mentor 1 2 students during the 2010-2011 academic year.

How did you hear about the mentoring program?

Media Publications
Website
TU Faculty/Staff
TU Alumni
Other

What other information about yourself would you like to have taken into consideration when you are being matched (i.e. ethnic background, sexual orientation, gender, disability, etc.)?

I UNDERSTAND that I am responsible for printing and reading The Mentoring Program Handbook.

I AGREE to contact Kristine Bridges or Christy Caves in the Professional Development Office if I have any questions, comments, or concerns about the Mentoring Program, my mentee, or regarding a change in my abilities to serve as a mentor for the 2010-2011 academic year.

Additional Notes or Comments

Notes or Comments


Please check all of your entries before sending.