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3x3 Connections

EMERGING PROFESSIONAL INTEREST FORM

Share your background, interests, and availability so we can match you with the right mentor and cohort conversations.

First Name

Middle Name

Last Name

Firm / Organization*

Title*

Email*

Phone*

City, State*

AIA Member Number

Professional Background

Years in Profession*

Current Membership Status*

Licensure Status*

Mentoring Perspectives

What mentor experiences, backgrounds, or career paths would be most valuable to you?*

What topics do you most want to discuss during the program?*

Career Development

Leadership Skills

Project Management

Design Process

Licensure & Professional Growth

Firm Culture & Office Operations

Business Development

Work-life Balance

Community Engagement

Other

Availability

Preferred Meeting Time*

Lunch

Late Afternoon

Evening

Flexible

Preferred Meeting Format*

Virtual

In-person

Either

Commitment Acknowledgements

I will attend the Statewide Kickoff Event.

I will attend all Three Cohort Meetings.

I will complete Program Evaluation Surveys.

I will participate actively in the Program.

Electronic Signature*

Today's Date*

Mentee Fee

$40

We have a lot of opportunities for you.
Join in and let's make a positive impact for WV !

EXPLORE THE OPPORTUNIES

AIA West Virginia
223 Hale Street
Charleston, WV 25301

Mailing Address
PO Box 813
Charleston, WV 25313

304-344-9872

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3x3 Connections

EMERGING PROFESSIONAL INTEREST FORM

We have a lot of opportunities for you. Join in and let's make a positive impact for WV !

We have a lot of opportunities for you.
Join in and let's make a positive impact for WV !