First Nations Mentoring Program - Mentor Registration Form

Part 1: Personal Information

Name:

Chambers / Court:

Contact number:

Email address:

Number of years at the Bar / Bench

Current practice area(s):

Please outline any relevant previous experience as a mentor or mentee:

Why would you like to participate in the Mentoring Program? What particular experiences or qualities make you a suitable mentor in this program?

Please indicate your present preferred mentee:

Female

Male

Don't mind

Law student

Lawyer

Don't mind

You may engage in the program more than once.

I would be interested in mentoring a student/lawyer who is not easily able to attend my chambers (e.g. from a regional university)

Yes

For how long would you like to be available to be contacted for mentoring roles?