Program In Labor and Employment Law

Labor & Employment Certificate Program
Mentor Information Form

I. DEMOGRAPHIC INFORMATION
Date:
Name:
E-mail Address:
Address:
City, State, Zip:
Home Phone:
Work Phone:
Division:	Day Evening
I expect to graduate in:
Spring and Fall 2012 courses.
Present employment. Please include a brief description of responsibilities.
Undergraduate major, school; date of graduate degrees.
Work experience.
Primary area of interest.
	Labor Law (Union-Management Relations Law) Please choose as many as you like and rank them with #1 indicating your primary area of interest.
	Union Law Firm Management Law Firm Corporation (in-house) Union (in-house)
	Employment Law
	Plaintiff side law firm Defendant law firm Employee benefits Regulatory/agency Other (please specify)
	Geographic preference for life after Chicago-Kent.

	Have you had an attorney mentor previously? Briefly describe your experience.

	What would you like an attorney mentor to do for you?