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* 1. Are you applying for the coaching or mentoring program?

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* 2. Name

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* 3. Law Student

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* 4. Practicing Attorney

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* 5. Last/Current Place of Employment.

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* 6. Gender

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* 7. Racial/Ethnic Minority

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* 8. Are you LGBTQ?

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* 9. Are you disabled?

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* 10. I am interested in being coached in the following areas:

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