SPEED MENTORING - MENTOR REGISTRATION

SPEED MENTORING - MENTOR REGISTRATION

FIRST ANNUAL IIDA NY ROCHESTER CITY CENTER SPEED MENTORING EVENT

THIS FORM IS FOR REGISTRATION OF MENTORS WHO WANT TO MENTOR STUDENTS

Registration closes when 15 Mentors have registered. Please register by November 1, 2011.

Please contact Kirstin Labita if you have questions: klabita@bergmannpc.com

* Required fields
Name *
E-mail Address *
Title *
Design Firm *
Mailing Address *
City *
State *
ZIP Code *
Telephone Number *
Are you an IIDA Member?
IIDA Membership Number
Please indicate your area of design expertise: *	Retail Residential Textile Commercial Hospitality Healthcare Industrial Other
Please indicate the estimated amount of time you can dedicate to your mentoring relationship: *	1 Hour per week 1/2 Hour per week 1 Hour per month
Briefly describe your ideal mentoring relationship: *

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