Mentor Request Form

Mentor Request Form

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YES! I am interested in being paired with an AAJ mentor!

AAJ Member ID:
First Name:
Last Name:
Address:
City/State/ZIP:
Law School:
Phone:
Fax:
E-mail:

Areas of Practice that you are interested in:

Distance willing to travel for Mentorship:

Are you willing to be mentored by phone? Yes No

What would you like to gain through this mentoring relationship?

If you have any questions, please contact Kay Eckstein at 800.424.2725, ext. 302 or kay.eckstein@justice.org

Or
print out this form and mail/fax it to:

American Association for Justice
777 Sixth Street, NW
Suite 200
Washington, DC 20001
Fax: 202-298-6849

The American Association for Justice
777 6th Street, NW, Ste 200 • Washington, DC 20001 • 800.424.2725 or 202.965.3500