LAGBAC Mentoring Program - Mentor Application 2017-2018
Hello all!

Thank you very much for your interest in serving as a mentor in the LAGBAC mentoring program. Please fill out the brief questionnaire below by October 13, 2017. We will use the information to help ensure a successful mentoring match, or take note of mentor/mentee pairs continuing into this year.

If you have any questions, please do not hesitate to contact me at jreynolds@lagbac.org. Details about our LAGBAC Mentorship Kickoff Event, will be coming soon!

Looking forward to a great year ahead, and if I haven't already, to meeting everyone soon!

Best,

Jared M. Reynolds
First Name *
Last Name *
Practice Setting *
Practice Area *
Required
Company/Firm Name *
Company/Firm Address *
Company/Firm City *
Company/Firm State *
Company/Firm Zip Code *
Phone Number *
Email *
Law School *
Year Admitted to Practice *
Undergraduate Institution *
Home town *
Sexual Orientation (optional)
Clear selection
Gender Identity (optional)
Preferred Pronouns
Clear selection
Do you intend to continue a pre-existing mentoring relationship?
Clear selection
If so, what is your pre-existing mentee's name?
If you have participated in the mentoring program before, do you have any suggestions to improve our program?
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