*indicates a required field

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* 1. First Name

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* 2. Last Name

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* 3. Address

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* 4. Phone Number

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* 5. Email Address

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* 6. Law School

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* 7. Year

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* 8. Have you previously participated, or are you currently involved in a law-related mentoring program? (attorney mentorship through the law school, etc.)

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* 9. Have you previously participated in the Judicial Mentorship program?

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* 10. The number of judicial mentorships is limited, and we want to make them available to students who could most benefit from the experience. Please tell us something about your background and why you feel you could benefit from having a judicial mentor.

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* 11. What are you most hoping to gain from a judicial mentorship? 

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* 12. Where (geographically) do you see yourself practicing law? What benefits or barriers would contribute to your decision to practice law in Oregon? 

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* 13. We have many students to pair with mentors. Though we cannot guarantee that we will be able to match you with a mentor 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 mentor.

  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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* 14. Undergraduate School

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* 15. Degree/Major

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* 16. Hometown

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

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* 18. List three words you would use to describe yourself:

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* 19. List three traits you would like to have in a mentor: 

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* 20. What areas of law interest you? Check as many as apply.

  Yes Maybe
Administrative Law
Admiralty
Agricultural Law
Alternative Dispute Resolution
Antitrust, Trade Regulation
Appellate Practice
Aviation Law
Business Law
Business Litigation
Civil Rights
Computer & Internet Law
Constitutional Law
Construction Law
Consumer Law
Corporate Counsel
Criminal Law
Debtor-Creditor
Disability Law
Diversity
Elder Law
Energy, Telecom & Utility Law
Environmental & Natural Resources
Estate Planning and Administration
Family Law
Government Law
Health Law
Immigration Law
Indian Law
Intellectual Property
International Law
Juvenile Law
Labor & Employment
Law Practice Management
Litigation
Products Liability
Real Estate & Land Use
Securities Regulation
Sole and Small Firm Practitioners
Taxation
Workers Compensation

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* 21. We try to match students with mentors locally. In order to create the best possible matches, and as many matches as possible, we often need to pair students with judges in other counties. Do you have access to transportation that would make it possible for you to travel to meet your mentor?

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* 22. Do you have a disability (physical, mental, or learning) that substantially limits one or more major life activities:

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* 23. Are you the first person in your family to attend college?

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* 24. Is English your second (or additional) language ?

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* 25. Do you have single parent or other familial responsibilities?

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* 26. Race/Ethnicity (check all that apply)

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* 27. Sexual Orientation

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* 28. Gender Identity (check all that apply)

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* 29. Please specify your pronouns (check all that apply)

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* 30. Have you served or are you now serving in the United States military?

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* 31. I acknowledge that by typing my name and the date in response to this question and subsequent questions, I intend for my typed name to serve as my electronic signature and certification.

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* 32. I authorize the OSB Diversity and Inclusion Department to use the information contained in this application to contact me in the future regarding this or other D&I programming.

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* 33. Where did you hear about the Judicial Mentorship Program?

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