Register to Become a Mentor

Name

First NameLast Name

Name of Business

Years in Operation

No. of Employees

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Website

Education

School

Degree

Additional Training (classes, workshops, etc.)

Professional Experience

Total Years of Professional Experience

Most Recent Professional Positions, please provide Business Name and Title (fields can be added as needed)

Have You Had Prior Experience as a Trainer/Teacher? (Please Provide Details.)

Have You Had Experience Working with an Apprentice in the Past?

Do you currently have an Apprentice?

If you have answered YES to either of the above questions, Please provide a few details about your experience and the current status of the apprentice.

If You Don't Currently Have an Apprentice on Staff, Would You Like MJSA's Help in Finding a Prospective Apprentice?

Please Describe Your Key Expectations of an Apprentice.

By checking the box below you acknowledge that any apprentice you take on will be a paid employee:

Salary/Compensation Information for Apprentice Position

Acknowledgment: By submitting this form, you acknowledge that you intend to enact the training program to the best of your abilities, that any apprentice brought on will be a paid employee and provided with safe working conditions, that you will provide the apprentice with an opportunity to achieve Advanced Jewelry Apprentice (AJA) certification, and that you will respond to periodic requests from MJSA regarding the apprentice's progress and the apprenticeship's status.