Become a Mentor Step 1 of 4 25% Contact InformationTitleMr.Ms.Mrs.Dr.Name* First Middle Last Business Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Business Email* Daytime Phone*Alternative PhoneFaxPreferred Form of Contact*PhoneEmail Education BackgroundDid you attend the University of Tennessee College of Law?*YesNoIf not, from what law school did you graduate?*What year did you graduate from law school?*Please list any dual-degree programs in which you participated, if any.Please list any student organizations/activities in which you participated while enrolled in law school.Undergraduate InstitutionUndergraduate DegreeUndergraduate MajorYear of Graduation (Undergraduate)Other College/UniversityDegreeProgram/Field of StudyYear of Graduation Mentoring InformationI am willing to mentor:*one studenttwo studentsmore than two studentsDo you have an interest in working with a specific group of students? If so, please specify.What is your practice setting? Check all that apply.* Select All Large Firm (26+) Mid-size Firm (11-25) Small Firm (2-9) Solo Practitioner Government (Federal, State, Municipal Agencies) Corporation Public Interest District Attorney Public Defender Please list your practice area(s).*Can you suggest any other attorneys who might be interested in serving as a mentor? Please provide contact information.How did you hear about the mentoring program?Media PublicationsWebsiteUT Faculty/StaffUT AlumniAre you in good standing with your state bar association?* Please indicate whether or not you agree with the statements below.I UNDERSTAND that I am responsible for printing and reading "The Mentoring Program Handbook."*AgreeDisagreeI AGREE to contact the Program Coordinator if I have any questions, comments, or concerns about the Mentoring Program, my mentee, or regarding a change in my ability to serve as a mentor.*AgreeDisagreeI CERTIFY that I am in good standing with my state's bar association, or I certify that I am not required to have a license.*AgreeDisagree This iframe contains the logic required to handle Ajax powered Gravity Forms. Return to Mentoring Program