BUILD Mentorship Program
HBA BUILD Mentorship Enrollment Form
I am interested in being a:
Mentor
Mentee
Name
First Name
Last Name
Title
Company Name
Address Block - US
Address Line 1
Address Line 2
City
State
Select option...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
DC
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
DC
Zip/Postal Code
Email Address
Phone Number
How long have you been a member of HBA of Metropolitan Harrisburg?
Contact Information
Preferred Method of Contact
Phone
Email
Text Message
Social Media
Best time to meet
Morning
Afternoon
Evening
Weekends
Please indicate your industry sector:
Financial Services
Multi-Family Builder
Residential Remodeler
Professional Specialties (Accounting, Planning & Design, Legal, etc.)
Single Family Builder
Realtor/Property Management
Trade Partners (Electrician, Drywaller, Plumber, Painter, Excavator, etc.)
Retail/Commercial Supplier (Appliances, Building Supplies, Flooring, Lumber, etc.)
Please choose Mentors=Area(s) of Expertise / Mentees=Topics Wishing to Explore
Architecture & Design
Building Techniques
Business Management
Career Development
Human Resources
Land Development
Leadership Development
Project Management
Career Development
Sales & Marketing
I agree to a 1-year commitment with my assigned mentor/mentee. I agree to follow the program structure, including event attendance and regular communication with my mentor/mentee and the HBA staff. If at any time conflict or concerns arise, I will immediately contact the HBA staff for resolution assistance.
Applicant's Agreement
First Name
Last Name
Date
Format: MM/dd/yy