Jump to Navigation | Jump to Content
 
  |  Join ABA  |  Media  |  Contact
Advanced Search
Topics A-Z
 
Print This  | Page Feedback
ABA Judicial Division logo

American Bar Association Judicial Division
Judicial Mentoring Program


Attorney Questionnaire

Personal Information
Name:
Business Address:
City:
State/Province:
Zip/Postal Code:
E-mail Address:
Telephone Number:
Fax Number:
 
Optional alternate information for secretary or law clerk
Name:
E-mail Address:
Telephone Number:
Fax Number:

Attorneys participating in the program will be matched with mentors by gender, ethnicity, disability and sexual orientation to the extent possible and desired. Identifying yourself in these categories will assist in the matching process.
Gender:
Sexual Orientation (optional):
Race/Ethnicity:
Disability (optional):
Law school graduation date:
State the dates and courts of admission(s):
Describe the types of practice you have
(identify any specialty):
 

Affiliations (check all that apply)
American Bar Association
Section or Division      ABA ID#
Hispanic National Bar Association
National Asian Pacific American Bar Association
National Bar Association
National Native American Bar Association
National Lesbian and Gay Law Association
Other
 

Mentor Preferences - How would you like to be paired with a mentor? (check all that apply)
Gender:     Ethnicity:     Disability (optional):
Sexual Orientation (optional):
Court Preference - not to exceed three. Please list one as highest priority and three as lowest:
 Federal Trial
 Federal Appellate
 Federal Bankruptcy
 Federal Magistrate
 Intermediate Appellate
 State Trial
 State Appellate
 State Administrative Law
 Federal Administrative Law
 Military
 Tribal
 
Elected Appointed
 
How did you hear about the program?
 

Agreement Statement
I agree that all of the above information is accurate to my knowledge and that I am solely agreeing to be matched up with judges based on the information I provided above to participate in the Judicial Division Judicial Mentor Program.

I agree that this relationship will not be used in any way to assist in my current practice or to solicit employment, references, campaign contributions or any type of campaigning assistance.

Enter today's Date (mm/dd/yyyy):

Your information will only be used within the ABA and its entities. We do not sell or rent e-mail addresses to anyone outside the ABA.

If you have questions regarding this form or the program, please contact Gilda Fairley at 312.988.5689 or at fairleyg@staff.abanet.org.



The Judicial Division Mentor Program is cosponsored by the ABA Young Lawyers Division.
The Judicial Division only matches judges and attorneys within the United States.



  

Back to Top

Copyright American Bar Association. http://www.abanet.org