Mentee Registration

Sponsoring Organization:*

IL ARDC Number:

Name:*

First Last

Email:*

Enter Email Confirm Email

Phone

Law School:*

Employer:

If not yet employed, leave blank.

Office Address:

If not yet employed, provide your mailing address.

Street Address Suite City State ZIP Code

Select up to five areas of practice which describe your interests:

Check preferences for mentor’s type, size, and location of practice:

Type of Practice:

Size of firm/organization:

Location of practice:

Check the way that you want to be paired:*

Mentor Name:

In addition to providing information below, make sure your mentor completes the mentor registration form.

First Last

Mentor Email: