HBA MENTORING PROGRAM - LEGAL PROFESSIONAL APPLICATION
* asterisk denotes required fields
Your Name:
*
First Name
Last Name
Your Email:
*
example@example.com
How many years have you been practicing law?
*
Less than 5 years
5 or more years
Practice Setting
*
Law Firm
Not for Profit Organization
Government
Judiciary
Corporation
Other
Practice Area
*
Bankruptcy
Banking and Finance
Corporate
Criminal
Education
Environmental
Family
Health
Immigration
Intellectual Property
Labor and Employment
Litigation
Medical Malpractice
Personal Injury
Real Estate
Securities
Tax
Tort
Trusts and Estates
Other
Company/Firm Name
*
Company/Firm Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Name of Law School:
*
Year Admitted to Practice:
*
Undergraduate Institution:
*
Do you intend to continue a pre-existing mentoring relationship?
Yes
No
If so, what is your pre-existing mentee's name?
If you have participated in the mentoring program before, do youhave any suggestions to improve our program?
Submit
Should be Empty: