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* 1. First Name

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* 2. Last Name

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* 3. Court

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* 4. Business Address

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* 5. Phone Number

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* 6. Email Address

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* 7. How many students are you willing to mentor through the Judicial Mentorship Program?

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* 8. We have many students to pair with mentors. Though we cannot guarantee that we will be able to match you with a mentee based on any particular factor, we will  use our best efforts to match students and mentors in a way that fosters a successful mentorship relationship. Please let us know what factors you would like us to consider in matching you with a mentee.

  Primary factor Somewhat a factor Not a factor
Practice area interests/ experience
Hobbies/ outside interests
Personality traits
Geographic proximity
Geographic background
Demographics

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* 9. Undergraduate School

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* 10. Degree/Major

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* 11. Hometown 

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* 12. Law School

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* 13. What are your outside interests, hobbies, or activities?

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* 14. In what areas of law have you practiced ? Check as many as apply.

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* 15. We try to match students with mentor in their area. However, in order to make the best matches and to match as many students as possible, we often have to match students with mentors further away. Do you frequently travel to Portland, Eugene, or Salem, such that you would be willing and able to meet with a student mentee in one of those towns while there?

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