Mentoring Attestation and CLE Credit Application

IL ARDC Number:*

Name:*

First Last

City, State, ZIP Code:*

City State ZIP Code

Email Address:*

Enter Email Confirm Email

I served as:*

Mentor
Mentee

Mentor's Name:*

First Last

Mentee's Name:*

First Last

Attestation:*

I attest that the statements below are true and accurate to the best of my knowledge.

We (mentor and mentee) participated in the mentoring program for at least 365 days, completed an action item from each of the five sections of the Mentoring Plan, and met the minimum eight meetings (in-person or virtual) requirement. During our meetings, we focused on the skills for professional and ethical practice of law and examined the lawyer’s aspirational ideals as applied to action items elected in our Mentoring Plan. Finally, the mentee completed the mentoring program within the first five years of admission to practice law in Illinois.

Sponsoring Organization*

Select from pull down menu.

As a result of participating in the mentoring program:*

Check all that apply.

My understanding and appreciation of attorney professionalism issues increased.
I acquired skills that I utilize in my practice of law.
I have a better understanding of how attorneys interact and communicate.
I experienced a greater sense of connection and commitment to the profession.
Other (please specify).

Did you conduct any virtual mentoring meetings during program?*

Yes
No

How many of your meetings were virtual?

What video program(s) did you use?

Zoom
Skype
Google Hangout
Microsoft Teams
Facetime
Other

Please Specify:

Did you find your virtual meeting(s) as engaging as in-person meetings?

Yes
No

Why or why not?

Any other comments or suggestions?

Mentoring Attestation and CLE Certification

IMPORTANT: Complete this form ONLY after it has been at least 365 days since your mentoring term began with your Orientation. Requests for mentoring CLE credit submitted too early may be delayed or rejected.