Columbus Bar Association
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Columbus Bar Mentoring Program Mentor Form

*Required   
Name
Date
Business Phone
Fax
E-mail  *
Year Admitted
Supreme Court Registration Number
Gender
Ethnicity (optional)
Current Employer or Firm
Number of Attorneys in Firm or Office
Preferred Contact Address
Practice Area(s) and Special Areas of Expertise

Do you maintain professional liability coverage?    Yes   No


Below are some of the common goals of our mentees. Please help us match you with an appropriate mentee by rating your capability to assist with the following (using a scale of 1 [strong] to 3 [not especially strong]):

Assisting with developing contacts in the legal community
Providing advice on business development
Providing advice on law firm management and politics
Providing advice on client relationships
Providing advice on how to become active in the
Columbus Bar, boards or other organizations
Providing advice on work-life balance
Assisting with assessing career path and options
Providing advice on running a solo practice
Providing feedback to mentee

Do you have any information which would help us match you with an appropriate mentee? For example, would you prefer to be matched with someone of the same gender or ethnicity? Would you prefer to be matched with a mentee who works in the same practice area or who has an office near to you?

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Columbus Bar Association
175 S. Third St., Ste. 1100
Columbus, OH 43215-5193
(p)
614/221.4112
(f)
614/221.4850
(e)
info@cbalaw.org

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