Mentorship Pairing Application
Spring 2025: March 3, 2025 - June 30, 2025
Name
First Name
Last Name
Years of Experience in Elder Law
Law Firm
Office Location
Firm Size
Solo
Small
Medium
Large
Email
example@example.com
Phone Number
Please enter a valid phone number.
Are you intending to be a mentor or mentee?
Mentor
Mentee
PARTICIPATION REQUIREMENTS
Mentor Requirements
Please indicate that you meet the following requirements:
I am an attorney licensed to practice law in Florida.
I am in good standing with The Florida Bar and I have no pending complaints or disciplinary actions.
I am a member of NAELA and AFELA
I have practiced in the area of Elder Law for at least 7 years or I am Board Certified in Elder Law by The Florida Bar.
Mentee Requirements
Please indicate that you meet the following requirements:
I am an attorney licensed to practice law in Florida.
I am a member of NAELA and AFELA
Areas of Practice
What are your primary areas of practice? Select all that apply:
Medicaid Planning
Estate Planning
Guardianship
Probate
Special Needs Trusts
Social Security Disability (SSD/SSI)
VA Benefits Planning
Long-Term Care Planning
Elder Abuse/Exploitation
Trust Administration
Other
Matching Criteria
To be filled out by both Mentors and Mentees
Please provide any information you would like the Mentorship Program to consider when matching you with a mentor/mentee (e.g., firm size, areas of practice, or other relevant preferences).
What are your goals for participating in the mentorship program? (e.g. skill development, networking, transitioning to elder law, leadership growth, etc.)
What specific skills or knowledge are you looking to gain from a mentor/mentee relationship?
Application Submission
By submitting the application, I affirm:
I wish to participate in the AFELA Mentorship Program and will devote the time and energy to fully participate in the program.
I meet the criteria for serving as a mentor/mentee.
I understand that I am expected to meet with my mentor/mentee a minimum of 4 times in the 4 month program (via phone, Zoom, or in-person).
I understand that all pairings are made at the discretion of the mentoring committee and that while the committee will make every effort to honor pairing preferences, accommodations may be limited based on the pool of applicants.
Signature
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