FIRST NAME * LAST NAME * NAME PREFER TO BE CALLED CURRENT EMPLOYER (if applicable) ADDRESS APT. NO. CITY STATE ZIP E-MAIL WORK PHONE MOBILE PHONE HOME PHONE YEARS OF LEGAL PRACTICE LAW SCHOOL YEAR OF GRADUATION UNDERGRAD SCHOOL AND MAJOR Other Professional Degrees/Licenses/Certifications Organizations for which you regularly volunteer and activities performed: Please list your top priorities in seeking a mentor (i.e. Workplace, race, practice area, etc.): DEMOGRAPHICS AND PROFESSIONAL INFORMATION GENDER FEMALE MALE AGE RANGE 21 - 29 30 - 39 40 - 49 50+ RACE White (not Hispanic Origin) Black (not Hispanic Origin) American Indian or Alaskan Native Asian or Pacific Islander Hispanic Other Please specify I choose not to disclose this information If you chose Other for race, please specify WORKPLACE Solo Practice (1 Attorney) Small Firm (2-5 Attorneys) Medium Firm (6-20 Attorneys) Large Firm (more than 21 Attorneys) Corporate Government/Courts Public Interest Law School/Legal Academia Non-Legal Practice Unemployed/seeking employment Other (Please specify) If you chose Other for workplace, please specify PRIMARY AREA(S) OF PRACTICE Bankruptcy Benefits In-House Counsel Criminal Corporate (General) Corporate (Mergers & Acquisitions) Corporate (Securities) Corporate (Please specify) Environmental Family Law (Please specify) Finance (Please specify) General Practice Immigration Intellectual Property Labor & Employment Litigation (Construction Law) Litigation (Commercial Law) Litigation (Criminal Defense) Litigation (Please specify) Public Interest (Please specify) Real Estate Tax Trust & Estates Workers Compensation Other (Please specify) Primary Area of Practice Specifications Primary Area of Practice Specifications If you are interested in a particular area of practice that you are NOT currently practicing, please list that area of law: List MCB Sections you have joined or plan to join this year: Have you already opened or plan to open your own firm? Yes No Amount of time you are willing to commit to Linking Lawyers per month. 1 hour 2-3 hours 3-5 hours 5 + hours Please select a preference regarding the length of time your mentor has been practicing law: I prefer a mentor who has been practicing the same amount of time as me I prefer a mentor who has been practicing 5-10 years I prefer a mentor who has been practicing 10-15 years I prefer a mentor who has been practicing 15-20 years I prefer a mentor who has been practicing over 20 years No preference Would you prefer a mentor of the same or different gender as your own? Same Different No preference Would you prefer a mentor of the same or different race as your own? Same Different No preference Would you prefer a mentor in the same or different practice area as your own? Same Different No preference If different practice area, please specify Would you prefer a mentor who works in a similar workplace as your own? (corporate, small firm, solo, etc.) Same Different No preference If different type of workplace, please specify Please list three non-law related skills that are important to the practice of law (i.e. marketing, IT, accounting skills, etc.) that you possess: What are your expectations of the Linking Lawyers program? (e.g., networking opportunities, resources on professionalism, transitioning practice area, shadowing your mentor to gain courtroom/litigation experience, etc.) What are your expectations of your mentor?(e.g., resource, guide/advisor, confidant, practical skills, etc.) What is your idea of a successful mentoring program? Please list any additional factors you would like us to consider when assigning your mentor: The Committee makes every effort to find a match for every applicant, but in some years the supply of mentees surpasses the mentor pool. If you are unable to be matched, would you be interested in participating in group mentoring? Yes No