Mentoring Request Form

First Name*

Last Name*

Email Address*

Phone Number*

+1 (US)

Briefly state the issue/challenge for which you are requesting mentoring. (250-word limit)*

Briefly state the overall goal for your issue/challenge and the desired outcome for this request. (250-word limit)*

Briefly identify the strategies you have implemented to date regarding your issue/challenge. (250-word limit)*

Please indicate the LegalNurse.com educational resources you have reviewed to attempt to solve your issue/challenge prior to making this mentoring request:

Select all that apply:*

Core Curriculum for Legal Nurse Consulting® textbook

Marketing Apprenticeship for the Certified Legal Nurse Consultant

Report Writing Apprenticeship for the Certified Legal Nurse Consultant

Medical-Related Case Reports

Contracts for your CLNC® business

Attorney Interview Workshop

None of the above

If you have a document to be reviewed, please upload it below.

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