Member Mentor Application Form

WCAA Member Mentor Application
Thank you for volunteering to be a Student Mentor. We commend your committment to sharing your knowledge to our future membership and the continued growth of our industry. Please fill out the the form below to help us find the perfect match for your student mentee.
Name

First NameLast Name
Name of Company
E-mail
Website
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Company/Firm's Primary Discipline

WorkroomDesignerDecoratorInstallerUpholsteryOther
Specialties (check all that apply)

Soft Window TreatmentsHard Window TreatmentsPillowsFloor CoveringsSlipcoversBeddingDesignerDecoratorFabric SalesFurnitureOther
Base of Company's Operations

Home BasedSingle Store FrontMultiple Store/Retail LocationsOther
Number of Employees
Years in Business
Preferred Mentoring Ratio (1:1 and/or small group)
How Often Would You be Available to Mentor?
Have You Been Involved in a Mentoring Program Before? If So, Describe the Program and Your Involvement.
List 2 References
Name, Address, Phone and Email
Additional Comments
Should be Empty:

WCAA Member Mentor Application