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3x3 Connections

MENTOR INTEREST FORM

Share your contact details, expertise, and mentoring preferences to be matched with participants.

First Name

Middle Name*

Last Name

Firm / Organization*

Title*

Email*

Phone*

City, State*

AIA Membership Status*

Professional Background

Years in Profession*

Years Licensed*

Current Position*

Professional Specialties*

Residential Design

Commercial Design

Interior Architecture

Historic Preservation

Sustainable Design

3D Modeling

Project Management

Construction Documents

Code Compliance

Other

Mentoring Interest

Why do you want to serve as a mentor?*

What professional experiences, lessons, or expertise can you share with participants?*

What do you hope participants will gain from the program?*

Participant Matching

Practice Areas / Career Interests to Discuss*

Architecture

Interior Design

Landscape Architecture

Urban Planning

Sustainability

Project Management

Construction Administration

Historic Preservation

Visualization / Rendering

Technical Documentation

Other

Preferred Participant Groups*

Students

Recent Graduates

Associates Pursuing Licensure

Associates Not Pursuing Licensure

Emerging Professionals 0 - 10 Years

Mid-Career Professionals

Matching Preferences*

Program Participation

Preferred Meeting Time*

Lunch

Late Afternoon

Evening

Flexible

Preferred Meeting Format*

Virtual

In-person

Either

Willingness to Travel*

Not Willing

Up to 30 Minutes

Up to 1 Hour

More Than 1 Hour

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.

I am willing to assist with Facilitation as needed.

Electronic Signature*

Today's Date*

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

MENTOR 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 !