CAMP Coffee Mentor Application

Colorado Attorney Mentoring Program Coffee Mentor Application
Please complete the application to the best of your ability. We will confirm your addition to the CAMP Coffee List upon receipt.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Organization or Law School (if any)
Colorado Bar Association or Local Bar Affiliation (Select All That Apply)

Adams/Broomfield Bar AssociationArapahoe County Bar AssociationAurora Bar AssociationBoulder County Bar AssociationColorado Bar AssociationContinental Divide Bar AssociationDelta County Bar AssociationDenver Bar AssociationDouglas/Elbert Bar AssociationEl Paso County Bar AssociationFirst Judicial District Bar AssociationFour Corners Bar AssociationFremont/Custer Bar AssociationHeart of the Rockies Bar AssociationMesa County Bar AssociationNinth Judicial District Bar AssociationNorthwest Colorado Bar AssociationPitkin County Bar AssociationPueblo County Bar AssociationSan Luis Valley Bar AssociationSeventh Judicial District Bar AssociationSixteenth Judicial District Bar AssociationSoutheastern Colorado Bar AssociationSouthern Colorado Bar AssociationSouthwestern Colorado Bar AssociationThirteenth Judicial District Bar AssociationWeld County Bar Association
Diversity or Specialty Bar Affiliation (Select All That Apply)

ASIAN PACIFIC AMERICAN BAR ASSOCIATION OF COLORADOASSOCIATION OF CORPORATE COUNSELAMERICAN ACADEMY OF MATRIMONIAL LAWYERSCOLORADO CRIMINAL DEFENSE BARCOLORADO CHAPTER OF THE FEDERAL BAR ASSOCIATIONCOLORADO DEFENSE LAWYERS ASSOCIATIONCOLORADO HISPANIC BAR ASSOCIATIONCOLORADO TRIAL LAWYERS ASSOCIATIONCOLORADO WOMEN'S BAR ASSOCIATIONCOLORADO INDIAN BAR ASSOCIATIONCOLORADO LESBIAN GAY BISEXUAL TRANSGENDER BAR ASSOCIATION (LGBT BAR)DENVER MAMASAM CARY BAR ASSOCIATIONSOUTH ASIAN BAR ASSOCIATION OF COLORADOFACULTY OF FEDERAL ADVOCATESTHE JUDGE WILLIAM E. DOYLE AMERICAN INN OF COURTTHE THOMPSON G. MARSH AMERICAN INN OF COURTTHE ROBERT C. RHONE AVA M. BRACKETT AMERICAN INN OF COURTTHE BEN S. WENDELKEN AMERICAN INN OF COURTTHE MINORU YASUI AMERICAN INN OF COURTTHE BYRON R. WHITE AMERICAN INN OF COURTTHE COLORADO INTELLECTUAL PROPERTY AMERICAN INN OF COURT
Please indicate any other professional organizations in which you participate that have not been previously indicated.
Number of Years in Practice
Practice Area Expertise (Select All That Apply)*

Administrative LawAlternative Dispute ResolutionAnimal LawAntitrust LitigationAppellateAviation and AerospaceBankingBankruptcyBusiness LitigationBusiness/CorporateCivil LitigationCivil RightsClass Action/Mass TortsClosely Held BusinessCommunicationsConstitutional LawConstruction LitigationConsumer LawCreditor Debtor RightsCriminal DefenseCriminal Defense: FederalCriminal ProsecutionElder LawEminent DomainEmployee BenefitsEmployment & Labor: EmployerEmployment & Labor: EmployeeEnergy & Natural ResourcesEntertainment & SportsEnvironmentalEstate & Trust LitigationEstate Planning & ProbateFamily LawFood and DrugsFranchise/DealershipGamingGeneral LitigationGovernment ContractsGovernment FinanceGovernment PracticeGovernment RelationsHealth CareImmigrationIn-HouseInsurance CoverageIntellectual PropertyInternationalJuvenileJudicialLand Use/ZoningLegal Aid/Pro BonoLegal EthicsLegislative & Governmental AffairsLobbyingMarijuanaMedia and AdvertisingMergers & AcquisitionsMilitary/Veterans LawNative American LawNonprofit OrganizationsNon-Traditional Legal CareerOil & GasPersonal Injury - GeneralPersonal Injury - Medical MalpracticePersonal Injury - ProductsProfessional LiabilityReal EstateSchools & EducationSecurities & Corporate FinanceSecurities LitigationSocial Security DisabilitySolo Practice/ManagementState Local & MunicipalSuretyTaxTechnology TransactionsTransportation/MaritimeUtilitiesWaterWorkers' Compensation
Which Resources Are You Willing to Provide to Mentees? (Select All That Apply)*

A “starting place” for networking within a certain practice area, bar association, or legal organizationA resource for practice area specific questionsSolo practitioners seeking other solo attorneys to serve as a resource for practice management questionsNew lawyers looking for someone to accompany them to a bar association or legal organization eventPursuing available leadership opportunities within a bar association or legal organizationResume reviewInformational interviewAlumni connectionClient referralsProfessionalism resources
Have you been suspended or disbarred from the practice of law in any jurisdiction, or have you surrendered your license to practice law for the purpose of disposing of a pending disciplinary proceeding in any jurisdiction?*

YesNo
Have you been sanctioned by a governing authority in the five years preceding application as a Mentor? (“Sanctioned by a governing authority” includes receiving any form of discipline, public or private, from an attorney regulatory or licensing authority, being held in contempt of court for conduct in connection with a legal proceeding, or being fined or monetarily sanctioned by a court for rule violations or conduct before the court or within the scope of a legal proceeding.)*

YesNo
Please read carefully the following requirements to be a mentor and limitations of the program and the check the box next to the requirements you understand and submit to as part of this application:*

1) All of my answers to the questions above are true and accurate;2) I have read the foregoing requirements and limitations;3) I agree to and understand the terms and as such qualify to be a CAMP Coffee List Mentor; and4) I understand that I have a continuing obligation to notify CAMP should any of my answers and declarations change as to the status of my licensure
We will contact you directly to confirm your addition to the list upon receipt of your application

For questions, please contact Ryann Peyton at 303-928-7750 or r.peyton@csc.state.co.us
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Colorado Attorney Mentoring Program Coffee Mentor Application

Please complete the application to the best of your ability. We will confirm your addition to the CAMP Coffee List upon receipt.

We will contact you directly to confirm your addition to the list upon receipt of your application