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Become a Mentor

Are you willing to participate as a Mentor?
Would you prefer a mentoring relationship via? (check all that apply):

Name

Salutation(p):

First NameMiddle Name
(or initial)
Last Name
Titles/Credentials(p):
Check all that apply.
RPB and CBSP will be added by the ABSA office.
Print Name(p):
This is how you would like to see your name printed in ABSA literature, programs, etc.
Do not include RBP or CBSP as they are added by the ABSA office.

Basic Contact Information

Address(m):
City(p): , State/Prov.(p): Postal Code(m):
Country(p):
Preferred Phone(m):
Phone 2(o):
Phone 3(o):
Email(m): This can be different from our login email. If you need to change your login email you need contact the my.ABSA.org Help Desk.
URL(m): (personal website, bio, Facebook, etc.)
Best Contact(m): Please indicate the best way to contact you.

Professional Information

Your Job Title(m):
Your Organization(m):
If your organization is not listed here or if your organization is listed incorrectly please let us know.
Dept./Division(m):
Sub Dept./Div.(m): (if needed)
I’ve been with this organization since(o):
YYYY-MM-DD (ie. 2012-10-24)
Describe your current responsibilities(m):

Resume Information

Short Bio(m): Example: I am the Chief Biosafety Officer at XYZ University and responsible for the risk assessment and oversight of all Biosafety related functions. I am a CBSP and for the past 8 years, have delivered over 14 Biosafety training programs to Biosafety and scientific professionals/audiences.
Educational Degrees Obtained(o): List all educational degrees obtained.
Example:
Master of Science, Biology; concentration in Biosafety/Biosecurity
Southeastern Louisiana University, Hammond, LA May 2006 GPA: 3.4

Resume(m): PDF documents only.
Please name your document using this naming convention:
lastname_firstname_yymm
(For example, John Smith’s resume dated May 2015 would be “Smith_John_1505.pdf”)

 You do not have permission to upload files to this gallery.

I’ve been working in biosafety since(m):

Biosafety sectors(m): please indicate what sector(s) you apply or have applied your biosafety skills
Other Sector(m):

Areas of Expertise

(information available to ABSA members only)
Please select the topics/areas you consider yourself to have knowledge and expertise in.
You may choose up to 4.

You must choose one.



(required fields in red)
(p)=information can be public
(m)=information only available to ABSA members
(o)=information only available to ABSA office and appropriate committees