Mentorship Application

Mentorship Application
First name
Last name
Phone Number
Email
Languages Spoken
Any criteria important to the CHBA matching process
Practice/Interest Areas (up to 3)
Preferred Location of Mentorship
What do you hope to gain from mentoring a CHBA student? / What do you hope to gain from receiving mentorship from a CHBA professional? (i.e. career guidance, discussion regarding work/life balance, gendered or racial issues in the workplace, etc.)
Are there any other concerns or questions you would like to share?
Thanks you for your submission, We'll get back to you shortly!
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