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50th Anniversary

Alumni Association

Minority Mentoring - Student Interest Form

First Name:
Middle Initial:
Last Name:
 

 
Local Home Information
 
Address Line 1:
Address Line 2:
City:
State:
Zip:
 
Phone:
Fax:
Email:
 

 
Permanent Home Information (if not the same as local)
 
Address Line 1:
Address Line 2:
City:
State:
Zip:
 
Phone:
Fax:
Email:
 

 
Other Information
 
Class Year(s):
Undergraduate Institution:
 
What area(s) of law are you interested in practicing? If you have other career interests, please describe:
 
 
Where do you desire to work after graduation?:

(Please indicate city(ies), state(s), and or region(s).)

 
 
Please tell us a little bit about your life before law school, and include your personal interests and activities:

(You are welcome to attach a resume, etc. if you so desire.)

 
 
Please rank the categories below to help us in matching you with a mentor, with “1" being most preferred and “5" being least preferred:

(Example: If being matched with someone in a particular practice area is most important to you, you will place a “1" next to practice area.)

Please note that we will be our best to meet your preference specifications, but can not guarantee we will meet all of your requests.

 
Ethnicity: African American
Asian/Pacific
Hispanic
Other (specify below)
 
Gender: Male
Female
 
Geographic Location:
 
Practice Area/Setting:
 
Other:
 
Please tell us how you envision your mentoring relationship unfolding (how many contacts, what you would like to talk about or experience during personal visits, etc.), in order to assist the program committee and the mentor in understanding your needs at this time:
 
 

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