Lawyer to Law Student Mentoring Program: Attorney Application

Akron Bar Association/University of Akron School of Law
Lawyer to Law Student Mentoring Program

2012- 2013 Attorney Application

If you wish to participate in the program, please complete this form by: By Friday, November, 9, 2012

* Required

* Name:
Firm/Company Name:
Office/Business Address:
* Telephone:
* E-mail Address
Law School:
Undergraduate Institution:
Major:
Have you participated in the past in the mentor program:
Year of Ohio bar admission:
Admission in other states:
Federal court or special admissions:

Please respond to the following so that we may best fit you with a mentee:

I am a:

corporate counsel
government lawyer
other
 

My work involves:

extensive research
administrative skills
social obligations
 
other:

I work in the following areas of law:

taxation
wills/trusts/estates
general practice
estate planning
criminal law
international practice
sports/entertainment law
 
other:

I am qualified to practice in another profession:

engineer
physician
 
other:

Mentor’s Personal background
(complete only those factors which you feel are relevant to a mentor-mentee relationship):

Race/Ethnicity:
Gender:
Marital status:
Children:
Number of Children:
Other family obligations:

Civic Activities:

Bar-related activities/other professional activities:

Hobbies:

Additional information/considerations:

Thursday, January 17th 5:00-6:30 PM “Meet Your Mentor/Mentee Reception” at the Akron Bar Association Offices

Will you be able to attend: