Become a Mentor

Contact Information
Title
- Mr.
- Ms.
- Mrs.
- Dr.
Name*
First Middle Last
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business Email*
Daytime Phone*
Alternative Phone
Fax
Preferred Form of Contact*
- Phone
- Email

Education Background
Did you attend the University of Tennessee College of Law?*
- Yes
- No
If 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 Institution
Undergraduate Degree
Undergraduate Major
Year of Graduation (Undergraduate)
Other College/University
Degree
Program/Field of Study
Year of Graduation

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."*
- Agree
- Disagree
I 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.*
- Agree
- Disagree
I 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.*
- Agree
- Disagree

Contact Information