FIRST ANNUAL IIDA NY ROCHESTER CITY CENTER SPEED MENTORING EVENT

THIS FORM IS FOR REGISTRATION OF STUDENTS WHO ARE LOOKING FOR MENTORS

Registration closes when 15 Students 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 *
Design School *
Student's Street Address *
City *
State *
Apartment #
ZIP Code *
Telephone Number *
Are you an IIDA Member?	NO YES
IIDA Membership Number
Please indicate your preferred area of design: *	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 goals for the mentorship: *

I have read and agree to the Privacy Policy *

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