University of Miami | School of Law

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University of Miami School of Law.  Copyright 2007  All Rights Reserved
1311 Miller Drive, Coral Gables, Florida 33146   |   Tel. (305) 284-2339
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Name
Employer
Title
Preferred e-mail address
Business Telephone No.
Preferred Mailing Address
City
State
ZIP
Year of Law School Graduation - JD’
LL.M’
Undergraduate Institution and Year of Graduation
Other degrees and institutions attended
Marital Status:
Do you have children?
Ages of Children:

Type of Employer	Law Firm
	In House Attorney
	Public Interest
	Government Academia
	Other
If law firm, what size local office?	N/A
	200+
	150-199
	100-149
	50-99
	1-49
	Solo practitioner
If other, please specify
Years in present position:
Practice Area (if applicable):
Prior positions (please indicate type of practice rather than specific employer:

Professional activities and interests outside law, including volunteer work, hobbies, and the like:

Activities during Law School?
Some students have expressed a preference for a mentor with a similar ethnic/racial/ religious background. Of course, this section is optional but helpful to those women. Please indicate if you are:	African-American
	Asian-American
	Hispanic
	Other
^{Ethnic background, if "other.”}
^{Religious Affiliation}

I would be willing to speak about my work to members of the program.	Yes	No
I would be willing to host groups of students in my home for an event.	Yes	No
Suggestions for other activities:
Any additional information you think might be helpful:
Due to the incredible popularity of the Women's Mentoring Program among the students, we occasionally pair mentors with two students. However, if you would prefer to be assigned to only a single mentee, please check this box:	Single Mentee Only

Mentor Contact Information

Professional Information

Women's Mentoring Program Activities