BUILD Mentorship Program

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

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.)

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