Background Information (Required)

My Name:

My E-Mail Address:

(Note: Confirmation of receipt of this form will be provided via email at the address you provide above.)

My Previous Mentor/Student's Name:

Have you contacted your previous mentor/student to inform him or her of your desire to be rematched?
Yes
No

Which Professional Mentoring Program are you currently participating in?
Juris Doctor
Graduate Tax Program
American Law Practice
Environmental and Natural Resource Law
International Business Transactions
Master of Legal Studies
Master of Science in Legal Administration

Reason for Migration (Optional)

I am requesting a new mentor/student because (Information you provide here will be kept confidential and will be used only for improving the Program):

Description of Desired New Mentor/Student (Optional)

I would like a new mentor/student with the following characteristics (i.e., areas of law, types of practice, etc.):

Student Acknowledgement

Professional Mentoring Program mentors are in short supply and by completing this form I understand I run the risk of not receiving a new mentor. I also understand my new mentor's time is valuable and, once matched, I agree to actively try to develop a professional relationship with my new mentor.

Signature

Electronic Signature: