BUiLT Mentorship Program Form

BUiLT Mentorship Program

Application
M1. What are your primary goals for participating in this mentorship program?

Receive or provide advice regarding long term career goals.Receive or provide insight regarding industry or workplace challenges.Receive or provide guidance regarding professional skills.Other
M2. What specific skills or knowledge areas are you hoping to develop or share?

Leadership skillsCommunication skillsNetworkingEnhance subject matter expertise (legal, technical)Emotional intelligenceOther
M3. What challenges do you think a good mentorship program could help you manage or improve upon?

Time management and/or prioritizationPublic speaking and/or content creation - industry opportunitiesPresenting information - career/workplaceNetworking and/or securing sponsorshipEnhance subject matter expertise (legal, technical)Navigating industry cultureObtaining leadership position and/or promotionSupport for attending conferences or sponsorship for certificationsOther
A. Community Member Details
1. Name of the Applicant*

First NameLast Name
2. Employment Status*

EmployedIn Transition/Student
2a. Title/Occupation*
2b. Company/Organization*
2c. Company/Organizational Email*
Please provide company email for validation
Corporate Email Validator*
Please provide your current status*
What is the current status of education?*

UndergraduatePost-Grad/Law School
Educational institution*
Personal Email*
example@example.com
Personal Email Validator*
3. Gender*

MaleFemaleNon-BinaryPrefer not to answerOther
4. Race/Ethnicity*
6. Education: Highest level of education attained*

High school diploma or equivalentAssociate’s degreeBachelor’s degreeMaster’s degreeJuris Doctor (J.D.)Master of Laws (LL.M.)Ph.DOther
5. Location*
B. Industry Specific Details
1. Industry: Specific industry or sector in which you work.*

Legal ServicesLaw Firm or Corporate Legal DepartmentGovernmentFinancial ServicesHealthcareTechnology (Software, IT Services, Tech Start-Up Companies)Real EstateEducationConsultingNonprofit (NGOs)Media and EntertainmentOther
1a. Areas of Expertise/Concentration (choose up to three/four that apply)

Artificial Intelligence/Machine LearningCompliance/GovernanceContract ManagementConsulting/Professional ServicesCybersecurity/Cyber LawData AnalyticsDocument Review ManagementeDiscovery Litigation/InvestigationInformation or Data GovernanceIT ManagementKnowledge ManagementLegal OperationsLitigation SupportPractice ManagementPrivacyRecruitingSalesOther
1b. Areas of Expertise/Concentration*

Artificial Intelligence/Machine LearningCompliance/GovernanceContract ManagementConsulting/Professional ServicesCybersecurity/Cyber LawData AnalyticsDocument Review ManagementeDiscovery Litigation/InvestigationInformation or Data GovernanceIT ManagementKnowledge ManagementLegal OperationsLitigation SupportPractice ManagementPrivacyRecruitingSalesOther
2. Years of Experience: Total years of professional experience in the legal field*
3. Thank you for your interest in the Mentorship Program. Please rank your interest in the remaining BUiLT programs by dragging and dropping them in your order of priority.
4. Committee Interests: Please select any committees you are interested in participating*

CommunicationFinanceMarketingMembershipProgrammingSponsorshipNone at this time
C. Brief Survey

Share Your Insights: Take Our Brief Survey to Help Us Improve!
1. Networking Preferences:*

In-Person Industry-specific speaking engagementsHappy hour networking meetupsSeminars & ConferencesRound-table EventsWebinarsOther
2. Would you be open to us recommending you to organizations looking for speakers or authors for Legal Tech projects?

YesNo
3. Do you know someone who would be a great addition to the BUiLT community? We would love your suggestions! Please share their name and contact information so we can reach out and invite them to join us.

YesNo
Empower Diversity: Refer a Colleague to BUiLT
4. How did you hear about BUiLT: *
5. Feedback/Comments:
Any additional feedback or comments provided by you
D. Declaration
I affirm that the details furnished in this form are both accurate and comprehensive. I assure that any inaccuracies or omissions are unintended. Furthermore, I acknowledge that BUiLT will neither profit from reselling my data nor compromise its security. While we may collaborate with corporate partners and represent them in communication with you, your data will remain inaccessible to them.
Signature of the Applicant*

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Name of the Authorized Signatory

First NameLast Name
Signature of the Authorized Signatory

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BUiLT Mentorship Program

A. Community Member Details

B. Industry Specific Details

C. Brief Survey

D. Declaration

For Office Use Only