1.Name

2.Email:

3.Areas of Expertise-Please check all that apply

Entrepreneurship-Founder or C-Suite

Entrepreneurship-All Other

Tech Non-profit Leader

Legal Aid Innovation Professional

Law-related Innovation-Public Sector

Academic Leader

Justice or Court Leader with innovation, AI, tech, transformation focus

Other Expertise (please specify)

4.Do you have experience with mentoring?

Yes, I have participated in a formal mentorship program as a mentor

Yes, I have participated in a formal mentorship program as a mentee

No, I have not participated in a formal mentorship program

5.Is there anything else you would like to share with us?

6.I would like to receive news and information on Lady Justice Initiative events

YesNo