Mentee Application Form
Fill out the form for registration
Full Name
First Name
Middle Name (Optional)
Last Name
Firm/Company/College University
Position/Role/Graduate Year
Professional Title/Credentials
Firm/Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Area of Interest/Expertise (All Applicable)
Architectural Design
Interior Design
Engineering
HR
Management
Operations
Planning
Project Management
Specifications
Technical Design
Other
What organizations are you currently involved with? (Excluding NCNOMA)
What are some of your passions and/or hobbies?
Why do you want a Mentor?
Availability (Day) For Mentor Sessions
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Availability (Time) For Mentor Sessions
Morning (9am - 12pm)
Afternoon (12pm - 4pm)
Evening (4pm - 6pm)
Professional/College/University E-mail
example@example.com
Mobile Number
Please Select List of Potential Mentors (Up to 3 Max, hold ctrl to multi-select)
*
Asa D. Santa Cruz, Assoc. AIA, NOMA
Esperanza Harper, M.Arch, EDAC, NOMA
Jason D. Hite, AIA, GGP
Trevor Holmes, Assoc. AIA
Kathryn Nicholson, Assoc. AIA
Nixzali Salcedo Pena, Assoc. AIA, Assoc. ASLA
Vincent J. Spencer, AIA, NOMA, NCARB, CPTED-CPD
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