Would you like to find a Mentor?
Would you prefer a mentoring relationship via? (check all that apply):
Please make sure the following information is correct.
| 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.
| 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.
|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): || |
(required fields in red)
(m)=information only available to ABSA members
(o)=information only available to ABSA office and appropriate committees