Columbus Bar Association
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Columbus Bar Mentoring Program Mentee Form

This form is to be completed even if you decline a mentoring opportunity

*Required   
Name
Date
Business Phone
Fax
E-mail  *
Gender
Ethnicity (optional)
Year Admitted to the Bar
Law School
Graduation Year
Current Employer
Preferred Contact Address
Practice Area(s)

I am interested in having a mentor assigned to me
Yes   No
If no, why not?

Do you maintain professional liability insurance (not a prerequisite)
Yes   No


Please tell us how important the following characteristics and goals are for a mentoring relationship on a scale of 1 to 4, with 1 being not important, 2 being important, 3 being very important and 4 being critical.

Same ethnicity
Same gender
Same practice area
Receiving advice on business development and developing contacts
in the legal community
Receiving advice on client relationships
Advice on live-work balance
Assistance with assessing career path and options
Receiving advice on running a solo practice
Getting feedback from your mentor
Working with a mentor in your own law firm
Other (please specify)

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175 S. Third St., Ste. 1100
Columbus, OH 43215-5193
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