FOR PROSPECTIVE MENTEES/MENTORS

Young professionals hear a lot about mentoring, but identifying a mentor can be a challenge. If you are a new lawyer and looking for a mentor to guide you from the study of law to the practice of law, the Indiana State Bar Association’s Mentor Match program is for you! Or if you are an experienced lawyer interested in sharing your wisdom and guidance with new lawyers just joining the legal profession, Mentor Match is for you!

The Mentor Match program matches new lawyers with experienced mentors in order to assist with law practice management, effective client representation and career development; provide guidance for new lawyers in all types of practices; and offer the opportunity to earn free CLE, ethics and/or applied professionalism credits.

To sign up to be a Mentor Match mentee or mentor, please complete this form and mail it to the Indiana State Bar Association, Mentor Match Program, One Indiana Square, Suite 530, Indianapolis, IN 46204, or email it to rsmith@inbar.org.

Name ________________________________________________________________________________________

Law Firm / Organization ________________________________________________________________________

Address ______________________________________________________________________________________

Phone ________________________________________ Email _______________________________________

Number of Years Licensed ___________________ Law School _________________________________________

Area(s) of Practice ____________________________________________________________________________

For MENTEE

___ I already have a mentor, _________________________, with whom I would like to work through this program.

___ I do not have a mentor. Please match me with a mentor through this program.

For MENTOR

___ I already have a mentee, _________________________, with whom I would like to work through this program.

___ I do not have a mentee. Please match me with a mentee through this program.

I certify that I have been licensed for at least five years and have no bar disciplinary history.*

Signature ______________________________________________ Date __________________________________

* If you have any history of disciplinary actions or active complaints pending against you, please also provide a written statement containing the nature of theaction (including the relevant date(s)), the outcome, a short description of what you learned from the experience, and why you believe you qualify to mentoryoung lawyers through Mentor Match irrespective of same.

For MENTEE or MENTOR

Comments/special requests:

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