Mentor Application Eligibility to Participate in Mentoring Program: Mentors shall be registered on the Illinois ARDC Master Roll of Attorneys as active and in good standing; be admitted to practice law in Illinois for not less than six years; and never have been suspended or disbarred from the practice of law in any state or jurisdiction and have no formal disciplinary complaint pending. If you meet the eligibility requirements and wish to participate in the mentoring program, please complete the Mentor Application form below. Thank-you for your interest in lawyer mentoring.Attorney Registration No:*First Name:*Last Name:*Home Street Address:*City:*State:*Zip:*Phone*Email:* Enter Email Confirm Email Twitter Handle:Facebook Address:LinkedIn Profile:Law School:*Employer:*1. Check all of the qualifications listed below that apply to you: I am registered on the Illinois ARDC Master Roll of Attorney as active and in good standing. I have been admitted to practice law in Illinois for not less than six years. I have never been suspended or disbarred from the practice of law in any state or jurisdiction and have no formal disciplinary complaint pending. 2. Indicate what prompted you to become a mentor (check all that apply): I believe that mentoring is a way of "giving back" to the profession. I have participated in a mentoring program before and am renewing my commitment. I was encouraged to be a mentor by a judge, court, or bar association. My employer encouraged or asked me to participate. A new lawyer asked me to be his/her mentor. I heard about the program and decided to apply on my own initiative. Other:3. Select up to five areas of practice which best describe your interests:* Admin/governmental Antitrust litigation Arbitration/mediation Bankruptcy Business/commercial Criminal Elder Employment/labor law Environmental Family/Domestic Federal practice General practice General litigation Health Immigration Intellectual property International Juvenile Practice management Personal injury/property damage Probate/trust/estate Real estate/landlord tenant Social security Sports/entertainment Tort/insurance Taxation Traffic Trial Work Workers comp Other:4. Check your type, size, and location of practice.Type of Practice: Solo practice Of counsel Law firm Government office/Judge In-House corporate counsel Non-legal job Size of firm/organization: 1 lawyer 2-9 lawyers 10-39 lawyers 40+ lawyers Location of practice: Large urban area Medium-sized city Small city/Rural area Other:5. Check any or all of the following skills which you possess: Appeals Technology Law practice management Regulatory board appearances Research Ability to discuss substance abuse and mental health issues Ability to be a resource for involvement in bar activities Ability to be a resources for involvement in pro bono activities Ability to assist with assessing career paths Ability to advise on balancing career and home life Ability to advise on running a successful solo practice Ability to discuss handling law school debt Other:6. Please check the way that you would like to be matched to a new lawyer: Match me to a new lawyer whose preferences correspond to my practice and interests. Pair me with the following lawyer who wants to be my mentee and register to participate in the lawyer-to-lawyer mentoring program. First Name of Mentee:Last Name of Mentee:Mentee Email Address: Mentee Phone:7. Additional requests or preferences?By submitting this registration form, I confirm that I will participate in the Lawyer-to-Lawyer Mentoring Program and I acknowledge that I will be awarded professional responsibility continuing legal education credit only when all program requirements are completed.NameThis field is for validation purposes and should be left unchanged.