Women Lead Application 2019-2020
Women attorneys will be paired in small group setting to network and support each other’s professional and personal development. Mentorship circles will (1) meet 4-6 times per year as a small group; (2) attend the Women Lead CLEs with all participants on May 14, 2019, September 17, 2019, November 19, 2019, and February 25, 2020; and (3) participate in a concluding event in Spring 2020.
Name *
Your answer
Email *
Your answer
Company/Firm *
Your answer
Address, City, State, Zip Code *
Your answer
Phone Number *
Your answer
ARDC number *
Your answer
Areas of Practice *
Your answer
My place of employment is a *
The number of women attorneys in my place of employment is *
I have been a practicing attorney for *
Mentorship group discussion topics I am interested in: *
Required
I am interested in being placed in a mentorship group with other women who: *
Required
Describe what your goals are for joining a mentorship group. (Meeting women on the same career path; family size; ect)
Your answer
Meeting times that work best for me *
Required
I am interested in being a group leader which would require scheduling small group meetings, updating members with information, leading the group discussions. Discussion topics will be provided. *
I am interested in being a substitute group leader which would require assisting the leader and filling in if the leader is absent. *
Submit
Never submit passwords through Google Forms.
This form was created inside of CIWBA. Report Abuse - Terms of Service