Mentor Application

2. Last Name:

3. Birthdate (optional):
Enter in this format MM/DD/YYYY or 01/24/1965

4. Gender:
–Choose–MaleFemaleNonbinary/NonconformingXTransgenderDifferent Identity

5. Preferred Pronouns:

6. Personal Email:
Personal email is preferred since work emails tend block or bounce communications.

Confirm email by retyping it, please do not copy and paste:

7. Employer Name (if employed):

8. Work Email:

9. Cell Phone:

10. Borough Living In:
–Choose–ManhattanQueensBrooklynBronxStaten IslandLiving Outside NYC

11. Religious affiliation (optional):

12. Law School Attended:
–Choose–American UniversityArizona State UniversityBaylor UniversityBoston CollegeBoston UniversityBrigham Young UniversityBrooklyn Law SchoolCase Western Reserve UniversityCatholic University Of AmericaColumbia UniversityCornell UniversityDePaul UniversityDrake UniversityDrexel UniversityDuke UniversityEmory UniversityFlorida International UniversityFlorida State UniversityFordham UniversityGeorge Mason UniversityGeorge Washington UniversityGeorgetown UniversityGeorgia State UniversityHarvard UniversityHoward UniversityIllinois Institute of Technology (Kent)Indiana University – BloomingtonIndiana University – IndianapolisLewis And Clark CollegeLouisiana State UniversityLoyola Marymount University—Los AngelesLoyola University—ChicagoMarquette UniversityMichigan State UniversityNew York UniversityNortheastern UniversityNorthwestern UniversityOhio State UniversityOther (please write in below)Pennsylvania State – Dickinson LawPennsylvania State – Penn State LawPepperdine UniversityRutgers UniversitySaint Louis UniversitySeton Hall UniversitySouthern Methodist UniversitySt. John’s UniversitySyracuse UniversityTemple UniversityTexas A&M UniversityTexas Tech UniversityTulane UniversityUniversity of AlabamaUniversity of ArizonaUniversity of Arkansas, FayettevilleUniversity of Buffalo—SUNYUniversity of California (Hastings)University of California—BerkeleyUniversity of California—DavisUniversity of California—IrvineUniversity of California—Los AngelesUniversity of ChicagoUniversity of CincinnatiUniversity of Colorado—BoulderUniversity of ConnecticutUniversity of DenverUniversity of Florida (Levin)University of GeorgiaUniversity of HawaiiUniversity of HoustonUniversity of Illinois—Urbana ChampaignUniversity of IowaUniversity of KansasUniversity of KentuckyUniversity of LouisvilleUniversity of MarylandUniversity of MiamiUniversity of MichiganUniversity of MinnesotaUniversity of MissouriUniversity of MontanaUniversity of NebraskaUniversity of Nevada—Las VegasUniversity of New HampshireUniversity of New MexicoUniversity of North CarolinaUniversity of Notre DameUniversity of OklahomaUniversity of OregonUniversity of PennsylvaniaUniversity of PittsburghUniversity of RichmondUniversity of San DiegoUniversity of South CarolinaUniversity of Southern CaliforniaUniversity of TennesseeUniversity of Texas at AustinUniversity of UtahUniversity of VirginiaUniversity of WashingtonUniversity of WisconsinVanderbilt UniversityVillanova UniversityWake Forest UniversityWashburn UniversityWashington and Lee UniversityWashington University in St. LouisWayne State UniversityWilliam & Mary Law SchoolYeshiva University (Cardozo)Other (please write in below)
If your Law School is not listed above, write it here:

13. Ethnicity/Race (optional):
Choose the one you most consider yourself to be.
–Choose–African (non-Latinx)African American (non-Latinx)AsianEast AsianSouth AsianBlack or African American (non-Latinx)Black and Latinx / Afro-LatinxLatinxMiddle EasternWhiteNative AmericanBiracial (see next question for further detail)
If you chose Biracial, please indicate which race or ethnicity you identify as (e.g. Black and Asian; Latinx and White). This is only used for statistical reasons.

MENTEE PREFERENCE INFORMATION

Questions to help us match your mentee.

14. Mentee Borough: Borough(s) you prefer your mentee to live in.
(Please note: most of our students live in Brooklyn, the Bronx, and Queens, so please pick a borough in addition to Manhattan.
(PC/MAC users, please HOLD CTRL or CONTROL key on your keyboard to select more than one)
–Choose–ManhattanQueensBrooklynBronxAny

15. Mentor an Upperclassmen mentee?
Most new mentors are matched with Sophomores. However, are you willing to mentor a student who is a junior or senior and thus only has 1-2 years left in the program?
–Choose–Yes, Senior grade level is fineYes, Junior/Senior grade levels are fineYes, Junior is fine, but not a SeniorNo, Sophomore is preferred, since I can make a 3yr mentoring committment

16. Mentee’s characteristics you require (optional)
Although we will match you with a mentee of the same gender, we cannot guarantee a mentee of a particular race, nationality, or religion. However, please let us know if you have a preference:

17. Specify a particular student(s) (optional)
You may have met this during internship or another LO program. Please list their full name(s) if possible. Although we cannot guarantee that you will be matched with a particular student, we will take your preferences into account.

MENTOR MATCHING INFORMATION

The questions in this section are integral in how you are paired. Mentor-mentee pairs who have common interests are the most successful. As such, please be as specific as possible when answering the following questions, the more information you provide the better we will be able to pair you with our students.

18. Fluent in any foreign language?
(PC/MAC users, please HOLD CTRL or CONTROL key on your keyboard to select more than one)
–Choose–SpanishBanglaMandarinCantoneseArabicHaitian CreoleOther (please write in below)If you selected “Other” please and write it here:

19. Describe yourself in four sentences?

20. What do you enjoy doing in your free time?
Check all that apply. (PC/MAC users, please HOLD CTRL or CONTROL key on your keyboard to select more than one)
–Choose– Going Shopping Going to the Movies Going to the Movies Cooking Exercising Martial Arts Playing Video Games Playing Sports Reading Chess Being Outdoors Writing Discussing Politics Visiting Museums Drawing Painting Going to Arcades like Dave & BustersGoing to Theme ParksGoing to ConcertsSkateboarding/Skating Biking/Hiking TravellingWatching SportsComputer programming/codingOthers too, write them in below

If you would like to include other free time activities to help us with matching, please list them here:

21. Type of activities you hope to enjoy with your mentee?
Choose more than three. (PC/MAC users, please HOLD CTRL or CONTROL key on your keyboard to select more than one)
–Choose– Biking/Hiking Going to a Sports Game Cooking Going to Dinner Going to the Movies Getting a manicure/pedicure Shopping Going to a Broadway show/ Opera/ Ballet Hanging out Visiting Museums Book Discussion Exploring the City Going to Arcades like Dave & BustersGoing to Theme ParksGoing to a ConcertOthers things too (please list them in below)

If you selected “Other things too,” to help us with matching, please list them here:

22. List favorite music and your favorite singers/bands?

23. Describe your ideal mentee.
Be as specific as possible.

24. Mentor a challenging student?
From time to time we have a few students who can be more challenging than others to mentor for a variety of reasons. We also have new mentors who enjoy such a challenge. Please indicate if you would be particularly interested in being assigned a mentee who may bring one of the following characteristics to the table.
(PC/MAC users, please HOLD CTRL or CONTROL key on your keyboard to select more than one)
–Choose–Mentee has Debating IssuesMentee has extreme shyness/social awkwardness Mentee occasionally has a negative attitude Mentee struggles academically and has issues with time management Mentee is from an English as a Second Language home Mentee may not always take initiative in reaching out to his or her mentor. Mentee would benefit from a strong mentor willing to commit more than the minimum time requirement Sorry, not at this time

25. Prior youth experience (optional):


Describe any experience you have had working with you from under-resourced communities youth (i.e. you were a Debate Coach for Legal Outreach).”

26. References: Please provide the names, phone, and email of two people who can serve as references.

Commitment/Agreement Section

27. Commitment to Mentor Until Mentee’s Graduation:
The mentoring relationship is designed to last throughout the student’s high school career. Can you make the commitment, barring unforeseen circumstances, to work with your student until graduation?
Yes

If you did not check “Yes” above please let us know your concerns.

28. Commitment to Minimum Time Requirement:
The minimum time commitment for mentors is face-to-face contact with your mentee once a month. Can you make this commitment?
Yes
If you did not check “Yes” above please let us know your concerns.

29. Debate Attendance Commitment:
If provided adequate notice, are you available to attend debates? Two debates take place on Thursdays during the academic year, from 6:00-9:00 pm. In-person debates are mostly at law schools such as Columbia Law, NYU Law, Cardozo Law, Fordham Law, St. Johns Law, and CUNY Law.
Yes
If you did not check “Yes” above please let us know your concerns.

30. Do you have any additional concerns about joining the mentoring program?

–Choose–No concernsYes, Some concerns. Please contact me.

31. Referred by? (optional)
This could help us expedite your application processing. For example if you worked with in the past through our internship program or as a debate coach. If you were referred by someone, please include the name and relationship of the person who referred you.
–Choose–Current/Former Debate CoachFormer MentorStaffer at Internship ProviderFriend of MentorGoogle SearchedLaw SchoolOther, please write-in below
Please write-in here if you were referred by a specific person or any other way than listed above.

32. What kind of mentoring relationship role are you expecting to have with your mentee?
Choose one or two.(PC/MAC users, please HOLD CTRL or CONTROL key on your keyboard to select more than one)
–Choose–Friends or BuddiesAdvisor and AdviseeTeacher and StudentParent likeUnsure

Submitt Your Application

33.Submit

This form will not submit unless all required questions have been answered. Follow the directions for each question. Some you can skip and some require you to write “NA” if you can not answer it. If you have any issues e-mail [email protected].

34. ISSUES SUBMITTING? TRY PRINTING TO PDF AND EMAIL TO [email protected]

*If you have any issues filling out this form, please email [email protected]