Alumni/Student Mentoring Program

Alumni Enrollment Form

Please complete this form to become a Boston University School of Law alumni mentor for the Class of 2012.

First Name
Last Name
Class Year	JD
	LLM:
Business Address
Firm
Your Title/Position
Street
City
State/Province
Zip
Country
Telephone
Fax
E-mail
Nature of Business/Industry

Undergraduate Institution
Major
Other Educational Institutions/Degrees
Outside Interests

Special experience/insights I could offer to students with specific interests
I would like to be contacted by students at home at work both at home and work
Home Address (optional)
Street
City
State/Province
Zip
Country
Telephone
Fax
E-mail

I would be willing to serve as a mentor to