Please complete this form if you'd like to volunteer to join the BBA's Expanded Bar Coaching Program as a Bar or Professional Coach. You will be e-introduced to your mentee by BBA staff. 

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* 1. First Name:

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* 2. Last Name:

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* 3. Email:

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* 4. Phone Number:

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* 5. Law School:

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* 6. In what city and state are you primarily located?

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* 7. What year were you admitted to the bar?

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* 8. Area(s) of practice/expertise:

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* 9. What best describes your current practice setting?

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* 10. Are you interested in providing:

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* 11. In what areas do you feel you would be most helpful?

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* 12. How would you prefer to communicate with your mentee? Please select all that apply.

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* 13. Which of the following best describes your racial or ethnic heritage? Choose all that apply. 

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* 14. Is there any other information you would like to share with us that might help us match you with an applicant?

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