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Thank you for your interest in serving as a mentor to a female Chicago-Kent student for the 2010-2011 school year. Please fill out the information below. You will be contacted within a few days with more information on the program and your mentee.
Applications are due Friday, September 24, 2010.
Title First Name* M.I. Last Name* Maiden Name Dr. The Hon. Miss Mrs. Ms. Prof.
E-Mail Address* Daytime Phone* Class Year*
Firm/Business Name Position
If you currently practice law, for what type of firm do you work? Sole Practitioner Small Firm (2-9 Attorneys) Mid-Size (10-74 Attorneys) Large Firm (75+ Attorneys) Corporate Government/Judiciary/Military Not-for-Profit
If you currently practice law, in what practice areas do you specialize? (To select more than one, hold down the CTRL key). Banking & Finance Bankruptcy Commercial Construction Corporate Criminal Dispute Resolution Education Employee Benefits/Executive Compensation Entertainment/Sports Environmental Estates & Trusts, Estate Planning Family General Practice Government Health Care Immigration Insurance Intellectual Property: Patents/Copyright/Trademark International Judiciary Labor/Employment Litigation Military Personal Injury/Tort/Negligence/Workman's Comp. Products Liability Public Interest Real Estate/Property Securities Taxation
If you do not currently practice law, in what industry do you work?
If you are interested in discussing any of the following topics with a mentee, please select from the list below. (To select more than one, hold down the CTRL key).
Asian/Pac. Islander Issues Black/African Issues Cultural/Ethnic Issues Disability/Special Needs Issues Heathcare/Women's Health Latina/Hispanic Issues LGBT Issues Mental Health Multiracial Issues Native American Issues Re-entering the Workforce Single Parent Working Parent Work/Life Balance
Please list any pro bono, public interest, volunteer work or professional organizations with which you are involved: