Mentoring Volunteer Form

On-Line Mentor Volunteer Application

Fields with an * are required. You will be contacted using your address of record information on file with the Utah State Bar.

Thank you for your interest in the Mentoring program.

Bar Number*

First Name*

Last Name*

Law Office/Employer*

Street Address

City, State, & Zip

Phone Number*

Email address*

Minimum Qualifications
Certification*

I certify that I meet the minimum qualifications fo serve as a mentor in Utah.

Active Status.
Minimum 7 Years of Practice Experience. I have been admitted to practice law for not less than seven (7) years and have a minimum of seven (7) years of practice experience.
Professional Status. A professional reputation in your local legal community for competence, ethical and professional conduct, malpractice insurance in an amount of at least $100,000/$300,000 if in private practice.
Disciplinary Action. Never been subject to a formal disciplinary proceeding by any court or Bar or related entity and/or been publicly or formally sanctioned in any jurisdiction.
I am familiar with and pledge to abide by the Rules of Professional Conduct and the Utah Standards of Professionalism and Civility
Yes

Malpractice Insurance Certification

“I hereby certify that as an attorney in private practice, I carry the requisite amount of malpractice insurance as required by the New Lawyer Training Program to serve as a mentor.”

Yes

Years of Practice*

7 - 10 Years of Practice

11 - 15 Years of Practice

16 - 20 Years of Practice

21+ Years of Practice

Mentor Type*

"Inside" Mentor - I am willing to mentor a new lawyer in my firm or organization.

"Outside" Mentor I am willing to mentor a new lawyer who is a practicing in another law firm or organization.

Inside and/or Outside Mentor

I Wish to Mentor The Following Attorney

New Lawyer Name:

New Lawyer Bar Number:

Practice Specialty

Admin/Governmental
Antitrust
Arbitration/Mediation
Bankruptcy
Business/Commercial
Litigation
Criminal
Elder
Employment/Labor Law
Environmental
Family/Domestic
Federal Practice
Litigation
General Practice
General Litigation
Health
Immigration

Intellectual Property
International Law
Juvenile
Practice Management
Personal Injury
Probate/Trust/Estate
Real Estate/Landlord
Tenant
Securities
Social Security
Sports/Entertainment
Tort & Insurance
Taxation
Traffic
Trial Work
Workers Comp
Other

Practice Type

Solo Practice
Of Counsel
Government Office/Judge
In-House Corporate Counsel

Law Firm
Non-Legal Job
Other

Firm Size

1 Lawyer
2-9 Lawyers

10-39 Lawyers
40+ Lawyers

Other Skills

Appeals
Computer/Technology
Law Practice Management
Regulatory Board Appearances
Research
Ability to discuss substance abuse and mental health issues
Ability to be a resource for involvement in bar activities
Ability to be a resource for involvement in pro bono activities
Ability to assist with assessing career paths
Ability to advise on balancing career and home life
Ability to advise on running a successful solo practice
Ability to discuss handling law school debt
Other

Mentor References

All mentor applications are reviewed by the Utah Supreme Court’s Advisory Committee on Professionalism. The Advisory Committee requires the submission of at least three references from the legal community, one of which must include an adverse/opposing counsel and, if applicable, a judge familiar with the applicant’s performance in court. Only one reference can be from the applicant's current firm or legal employer. Please provide the names and contact information for your references:

1. Name:
Phone:
Firm/Employer:
Address:

Please check if applicable: Adverse Party/Opposing Counsel Reference

2. Name:
Phone:
Firm/Employer:
Address:
Please check if applicable: Adverse Party/Opposing Counsel Reference

3. Name:
Phone:
Firm/Employer:
Address:
Please check if applicable: Adverse Party/Opposing Counsel Reference

4. Judge:
Phone:
Court:
Address:
Please check if applicable: Judicial Reference

MENTOR ACKNOWLEDGEMENT*

Please review and check yes below:

I wish to serve as a mentor in the New Lawyer Training Program, in accordance with its rules and regulations.
I acknowledge that the information provided in this application is complete and accurate to the best of my knowledge.
I certify that I meet all of the mentor requirements I checked above.
I understand that my participation in the NLTP is contingent upon the approval of my application by the Utah Supreme Court’s Advisory Committee on Professionalism.
I acknowledge that I will be awarded twelve hours of CLE credit only if I satisfactorily complete all program requirements.
I agree to attend or view the Mentor Training and Orientation program within three (3) months of approval of my mentor application.
I agree to make the necessary time commitment to maintain a mentoring relationship. If my work or life circumstances change so that I cannot contribute at this time, I will contact the NLTP administrator.

Yes

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