New Lawyer Application for ISBA’s 2016 Program Attorney Registration No:*First Name:*Last Name:*Street Address:*City:*State:*Zip:*Phone*Email:* Enter Email Confirm Email Twitter 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/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 preferences for your mentor's 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. I prefer a mentor with skills in the following area(s): (check all that apply) 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 Other: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.