BUILD Mentorship Program

HBA BUILD Mentorship Enrollment Form
I am interested in being a:
Name
Address Block - US
Contact Information
Preferred Method of Contact
Best time to meet
Please indicate your industry sector:
Please choose Mentors=Area(s) of Expertise / Mentees=Topics Wishing to Explore
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
Format: MM/dd/yy