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member to member mentoring

Please fill out the following form in order to be a part of MomJD's mentoring program. Keep in mind that by completing this form, you are agreeing to allow MomJD to share your information with possible matches. You will be contacted when a match has been made.

Name:
E-mail:
MomJD Member?
Member Name:
I want to be a: Mentor Mentee
Gender: Female  Male
Marital Status
How many children do you have?
Age:
(must be over 18)
Educational Background:
Career Status:
Potential Mentors: What special skills, accomplishments, and interests can you
bring to the mentoring program?
What would you like to accomplish as a Mentor?
What other information do you feel we should know about
you in order to appropriately match you?
 
Potential Mentees: What do you hope to gain from the mentoring program?
What area of the law are you interested in?
What do you hope to accomplish in your career?
What other information do you feel we should know about you in order to appropriately match you?
 
Additional Comments:
 


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