New Lawyer Application for ISBA’s 2016 Program Attorney Registration No:*First Name:*Last Name:*Street Address:*City:*State:*Zip:*Phone*Email:*Enter EmailConfirm EmailTwitter Handle:Facebook Address:LinkedIn Profile:Law School:*Employer:*1. Indicate your date of admission to the Illinois Bar.*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119202. Are you currently employed as a practicing lawyer?*YesNo3. Select up to five areas of practice which best describe your interests:*Admin/governmentalAntitrust litigationArbitration/mediationBankruptcyBusiness/commercialCriminalElderEmployment/labor lawEnvironmentalFamily/DomesticFederal practiceGeneral practiceGeneral litigationHealthImmigrationIntellectual propertyInternationalJuvenilePractice managementPersonal injury/property damageProbate/trust/estateReal estate/landlord tenantSocial securitySports/entertainmentTort/insuranceTaxationTrafficTrial WorkWorkers compOther:4. Check preferences for your mentor's type, size, and location of practice.Type of Practice:Solo practiceOf counselLaw firmGovernment office/JudgeIn-House corporate counselNon-legal jobSize of firm/organization:1 lawyer2-9 lawyers10-39 lawyers40+ lawyersLocation of practice:Large urban areaMedium-sized citySmall city/Rural areaOther:5. I prefer a mentor with skills in the following area(s): (check all that apply)AppealsTechnologyLaw practice managementRegulatory board appearancesResearchAbility to discuss substance abuse and mental health issuesAbility to be a resource for involvement in bar activitiesAbility to be a resources for involvement in pro bono activitiesAbility to assist with assessing career pathsAbility to advise on balancing career and home lifeAbility to advise on running a successful solo practiceOther:6. Check the way that you would like to be paired a mentor:Match me to a mentor in accordance with my preferences indicated above.Pair me with the following lawyer who wants to be my mentor and register to participate in the lawyer-to-lawyer mentoring program. (Enter mentor's information below)First Name of Mentor:Last Name of Mentor:Mentor Email Address:Mentor 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.