Olympia Beekeepers Association

Name*

First NameLast Name

Address*

Street Address

Apiary Address

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

How do you prefer to be contacted*

Phone callTextEmail

Have you attended or are you attending a beekeeping class*

YesNo

What is your education level*

Not formally educatedApprenticeJourneyperson

Have you keep bees in the past?

Do you presently keep bees?*

NoAt my residenceAt a remote location

Description of apiary location

How many hives do you plan on keeping *

how many hives are you currently keeping *

What type of hives do you have*

LangstothTop barHorizontalOther - describe below

Description of your hive set up

What are your goals or interests in keeping honey bees*

What level of mentorship do you require to develop your beekeeping skills.*

My first year of beekeepingMy sideline or hobby be keeping projectsMy commercial be keeping projectsIntermediate time of panic when I am simply have a questionhelp decide whether or not I actually want to keep honey bees myselfA partner to help keep honey bees or accountability partnerWorkshop or other group bee keeping events

How far are you willing to travel for a mentor*

0 to 10 miles10 to 20 miles20 to 30 milesOr more

Other information about you, your situation or concerns that will help with connecting you with a mentor.*

Disclosure: By submitting this form, I agree that the Olympia Beekeepers Association can use this information for the purpose of assigning a mentor, keeping statistical information to manage the mentorship program, and reporting this information to membership. Identity information is not to be provided to outside partners without my express permission.

OLYMPIA BEEKEEPERS ASSOCIATION - MENTEE FORM