2026 Mentorship Application - New Mentor

Please complete the following application to become a Mentor for the 2026 AALNC Mentorship Program.
The 2026 Mentorship Program will run from January 2026-December 2026. At a minimum, mentors are expected to meet monthly with their mentee and attend Quarterly check in meetings with the group. A Mentorship guidebook will be provided to assist with conversations and supporting your mentees.

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* 1. First Name

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* 2. Last Name

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* 3. List your credentials

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* 4. Email

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* 5. Phone Number

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* 6. City you are located in:

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* 7. Time Zone

Eastern Time Zone

Central Time Zone

Mountain Time Zone

Pacific Time Zone

Other (please specify)

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* 8. Preferred method to contact you?

By Email

By Phone

Other (please specify)

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* 9. Are you an AALNC Member?

Yes

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* 10. How long have you been practicing as a legal nurse consultant?

less than 10 years

10-15 years

16-20 years

greater than 20 years

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* 11. What is your primary practice area as a legal nurse consultant?

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* 12. What is/was your clinical nursing area of practice?

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* 13. Have you participated as a mentor in the AALNC Mentorship Program previously?

Yes

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* 14. If yes, please identify which year you participated as a mentor in the AALNC Mentorship Program.

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* 15. Briefly describe your current role as a legal nurse consultant.

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* 16. Can you share the key reasons, both foundational and aspirational, that inspire you to volunteer as a mentor?

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* 17. Can you commit to meeting monthly with your Mentee and attend Quarterly Mentorship meetings with your cohort?

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* 18. If you participated in a mentoring program before (either as a mentee or as a mentor), what did you like and/or dislike about the experience?

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* 19. In addition to a provided guidebook and access to AALNC staff and fellow mentors, what support do you anticipate needing as a mentor?

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* 20. Please upload your most recent resume or CV here.

Thank you for completing this application. AALNC Staff will get back to you after all applications are entered.