Mentor Registration

Sponsoring Organization:*

IL ARDC Number:*

Name:*

First Last

Email:*

Enter Email Confirm Email

Phone

Law School:*

Employer:*

Office Address:

Street Address Suite City State ZIP Code

Check the qualifications listed below that apply to you:*

Registered on the Illinois ARDC Master Roll of Attorneys as active and in good standing
Practiced law for five years or more
Never been suspended or disbarred from the practice of law in any state or jurisdiction

Select up to five areas of practice which best describe your experience:

Check type, size, and location of employment:

Type of Practice:

Size of firm/organization:

Location of practice:

Check the way that you want to be paired:*

Mentee Name:

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

First Last

Mentee Email:

Additional requests or preferences?