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 AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe 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