Mentor Application

2. Last Name:

3. Age Range:
–Choose–18-2425-3435-4445-5455-6465-7475-8485-94

4. Gender:
–Choose–MaleFemaleNonbinary/NonconformingXTransgenderDifferent Identity

5. Preferred Pronouns:
–Choose–He/HimShe/HerThey/ThemOther

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

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

7. Work Email:

8. Home Phone:

9. Cell Phone:

10. Home Address:
Include your apartment number with your street adress.
For example: 3614 35th Street Apt 1A

11. Home City:
Choose “Other” if it’s not listed.
–Choose–ARVERNEASTORIAATLANTIC BEACHBAYSIDEBELLEROSEBREEZY POINTBRONXBRONXVILLEBROOKLYNCAMBRIA HEIGHTSCEDARHURSTCOLLEGE POINTCORONAEAST ELMHURSTEAST ROCKAWAYEASTCHESTERELMHURSTELMONTFAR ROCKAWAYFLORAL PARKFLUSHINGFOREST HILLSFRANKLIN SQUAREFRESH MEADOWSGLEN OAKSGREAT NECKHARRISONHASTINGS ON HUDSONHEWLETTHOLLISHOWARD BEACHINWOODJACKSON HEIGHTSJAMAICAKEW GARDENSLARCHMONTLAURELTONLAWRENCELITTLE NECKLONG ISLAND CITYLYNBROOKMALVERNEMAMARONECKMANHASSETMASPETHMIDDLE VILLAGEMOUNT VERNONNEW HYDE PARKNEW ROCHELLENEW YORKOAKLAND GARDENSOther (please write in below)OZONE PARKPELHAMPORT WASHINGTONQUEENS VILLAGEREGO PARKRICHMOND HILLRIDGEWOODROCKAWAY PARKROSEDALERYESAINT ALBANSSCARSDALESOUTH OZONE PARKSOUTH RICHMOND HILLSPRINGFIELD GARDENSSTATEN ISLANDSUNNYSIDETUCKAHOEVALLEY STREAMWHITESTONEWOODHAVENWOODMEREWOODSIDEYONKERSOther (please write in below)

If your city is not listed above, write it here:

12. Home State:
–Choose–NYNJCTPANHRIVTOther (please write in below)
If your home state is not listed above, write it here:

13. Home Zip Code:

14. Borough you live in:
–Choose–ManhattanQueensBrooklynBronxStaten Island/Living Outside NYC

15. Borough you work in:
–Choose–ManhattanQueensBrooklynBronxStaten IslandOther/Working Outside NYC

16. Religious affiliation (if any):

17. 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:

18. Employer Name (If employed):

19. COVID-19 vaccination status:
–Choose–YesNot vaccinated

20. Did you relocate outside NYC because of COVID-19:
If you relocated temporarily for COVID-19, please indicate when you plan to return to New York City. If you do not plan to return to New York City or do not know, please email [email protected]
–Choose–Yes, Returning or will returnNo, Not returning or do not knowN/A

21. Ethnicity:
Choose the one you most consider yourself to be. This is only used for statistical reasons.
–Choose–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.

22. Mentee Borough: Which borough(s) would 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

23. Mentor an Upperclassmen?

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

24. Mentee’s required characteristics: Do you require a specific mentee race, nationality, or religion? (otherwise skip)
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:

25. Would you like to specify particular students you may have met during summer 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.

26. Mentee’s academic performance:
–Choose–High GPA, good organization, time management, and study skills (85%+)Good GPA, but could use push and/or improved time management and study skills (85% or below)Average GPA, tries but struggles academically (80% or below)Average GPA, sometimes lacks motivation and discipline (Could be below 80%)Any GPA

27. Mentee’s attitude toward debate:
–Choose–Will love debating, want extra prep meetings, plans to win all the trophies.Nervous about debates because of shyness or fear of public speaking.Looking forward to debates, but not to all the extra work and time management it will require.Excited for debates, but will likely struggle to understand the material.Has not developed a strong preference for debates yet.Attitude Toward Debate Doesn’t matter.

28. Mentee’s Personal Issues: If you were going to help your mentee talk about or deal with the following personal issues, which two would you be most comfortable with or well-positioned to address?
(PC/MAC users, please HOLD CTRL or CONTROL key on your keyboard to select more than one)
–Choose–Any issues, I have no preferenceAcademic issues/obstaclesSocial issues/obstaclesPersonal/emotional issues/obstaclesHealth issues/obstaclesFamily issues/obstaclesTypical teenage issues/obstacles

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.

29. Are you fluent in any languages other than English? If so, what language(s)?
(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:

30. How would you describe yourself in four or more sentences?

31. What adjective would a close friend use to describe you? Check all that apply.
(PC/MAC users, please HOLD CTRL or CONTROL key on your keyboard to select more than one)
–Choose– Outgoing Funny Active Shy Creative Serious Outdoorsy Sporty Competitive Homebody Soft Spoken Introspective Artistic Athletic Musical Nerdy Assertive Thoughtful Agreeable

32. What quality/personality trait do your close friends have in common? Check all that apply.
(PC/MAC users, please HOLD CTRL or CONTROL key on your keyboard to select more than one)
–Choose– Outgoing Funny Active Shy Creative Serious Outdoorsy Tomboy Competitive Homebody Soft Spoken Introspective Athletic Musical Artistic Nerdy Thoughtful Agreeable

33. 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 SportsOthers too, write them in below

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

34. Types of books or literature you like to read most. (Choose more than three.)
(PC/MAC users, please HOLD CTRL or CONTROL key on your keyboard to select more than one)
–Choose– Crime/Mystery Science Fiction Horror Romance Religion Non-Fiction Comic Books/ Graphic Novels I am not an avid reader Other

35.Which is your favorite genre of movies/tv shows? (Choose more than three.)
(PC/MAC users, please HOLD CTRL or CONTROL key on your keyboard to select more than one)
–Choose– Crime/Mystery Science Fiction Cartoons/Anime Horror Romance Biographies History Politics Science Religion Cooking Reality TV Documentries I am not a fan of movies/tv Other

36.What type of activities would 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:

37. List your favorite TV program(s)? (if any)

38. Do you like to dance? Please list them:

39. List favorite music and your favorite singers/bands? (if any):

40. List your favorite sports activity? Do enjoy watching, playing or both?

41. What common interests do you think would make your match a success?

42. Is there anything you absolutely would NOT want to do with a mentee?
(e.g. take cooking classes; watch a football game; read fiction; watch scary movies or anime; hang out with Yankees/Mets fans…)

43. Describe your ideal mentee. (Be as specific as possible.)

44.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 had extreme shyness/social awkwardness Mentee is 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

45.Prior youth experience:

Describe any experience you have had working with underserved youth. For example, if you were a Debate Coach for Legal Outreach.

46.Prior mentoring experience:

If you have received training working with teenagers and/or underserved teenagers as a mentor, and indicate through which organization(s) that training took place and how long you were affiliated with the organization(s).

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

Work Contact Information

If you are not working at this time, you may skip this section and go directly to question 53.

48. Work Phone:

49. Work Fax:

50. Work Address:
For example: 3614 35th Street Suite 1A. Include your suite or fl.

51. Work City:
–Choose–Other (please write below)ARVERNEASTORIAATLANTIC BEACHBAYSIDEBELLEROSEBREEZY POINTBRONXBRONXVILLEBROOKLYNCAMBRIA HEIGHTSCEDARHURSTCOLLEGE POINTCORONAEAST ELMHURSTEAST ROCKAWAYEASTCHESTERELMHURSTELMONTFAR ROCKAWAYFLORAL PARKFLUSHINGFOREST HILLSFRANKLIN SQUAREFRESH MEADOWSGLEN OAKSGREAT NECKHARRISONHASTINGS ON HUDSONHEWLETTHOLLISHOWARD BEACHINWOODJACKSON HEIGHTSJAMAICAKEW GARDENSLARCHMONTLAURELTONLAWRENCELITTLE NECKLONG ISLAND CITYLYNBROOKMALVERNEMAMARONECKMANHASSETMASPETHMIDDLE VILLAGEMOUNT VERNONNEW HYDE PARKNEW ROCHELLENEW YORKOAKLAND GARDENSOther (please write below)OZONE PARKPELHAMPORT WASHINGTONQUEENS VILLAGEREGO PARKRICHMOND HILLRIDGEWOODROCKAWAY PARKROSEDALERYESAINT ALBANSSCARSDALESOUTH OZONE PARKSOUTH RICHMOND HILLSPRINGFIELD GARDENSSTATEN ISLANDSUNNYSIDETUCKAHOEVALLEY STREAMWHITESTONEWOODHAVENWOODMEREWOODSIDEYONKERS
If your work city is not listed above write it here:

52. Work State:
–Choose–NYNJCTPANHRIVTOther (please write in below)
If your work state is not listed above, write it here:

53. Work Zip Code:

Commitment Section

54.Mentoring Until Mentee’s Graduation Commitment:
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?

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

55.Minimum Time Commitment:
The minimum time commitment for mentors is face-to-face contact with your mentee once a month, can you make this commitment?

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

56.Debate Attendance Commitment:
If provided with adequate notice, are you available to attend Legal Outreach debates, which take place on two Fridays during the academic year, one in the fall and one in the spring, from 6:00-9:00 pm, as well as arrange social/cultural activities with your mentee at least two-three times a year? (PLEASE NOTE: Due to the impact of COVID-19, debates and social/cultural activities may be implemented virtually.) In-person debates are mostly at law schools such as Columbia Law, NYU Law, Cardozo Law, Fordham Law, St. Johns Law, and CUNY Law.

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

57.Do you have any additional concerns over joining the mentoring program?
–Choose–Yes, Some concerns. Please contact me.No concerns

58. Referred by?
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.

59. 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

60.PRINT A COPY (Optional)

61.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]