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Mentor Request Form

Contact Information

Personal Information
         
Name:   *required   Gender:   Male Female
Email:   *required   Age:  
Phone: (cell phone preferred)   Marital Status:
Street Address: Children: Yes No
City, State & Zip Code Number of Children:
  *Please give the address you will be living at during the fall semester.    
Enrollment Status : J.D. Full Time
J.D. Part Time
L.L.M.
J.D. (Dual Degree) 		Ages of Children:
   
         

Instructions

  

Pairing Information

  1. Fill out the information as completely as possible. Incomplete information may result in delays.

  2. Your contact information should reflect the phone number and house address where you will be at when the fall semester begins. Your cell phone is usually the best way for one of our mentors to contact you.

  3. Once the information is submitted you will receive an email from Valparaiso University's School of Law Mentor/Mentee program confirming your enrollment in the program, as well as other important information.

     
  Hometown:
 
Region Where You Plan to Work:
     
 
Undergraduate Institution:
 
Undergraduate Major:
   
Additional Degrees or Work Experience:
Activities of Interest, Hobbies, Athletics, and Religious Affiliations:
Areas of Interest in Legal Study:
Any Additional Information:

Most Important Characteristic for Pairing Process: