1. Registration Form
Mentee
Name:
Contact Number: Mobile/Other
Email:
Current Profession:
Current Employer:
Have you participated in a
Mentoring Program in the past?
If so, why did you discontinue?
Please describe your
ideal mentor:
Would you prefer your mentor to In-House Private Practice Either
come from private practice
or in-house?
Would you prefer your mentor to No preference
come from a specific industry?
If so, please indicate Industry:
which industry
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2. Registration Form
Mentee
What would you like to gain from
your mentoring experience?
Would you be interested in being Yes No
a mentor yourself?
Mentee Declaration
I give Legal Network permission to forward my personal details to the Mentor whom
I will be matched with for the purposes of this program. I understand that I may not
be accepted for this program based on the limited number of mentors available, in
which case there is no fee applicable.
Name:
Signature:
Date: