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.
Name
Salutation(p):
Titles/Credentials(p): | Check all that apply. RPB and CBSP will be added by the ABSA office.
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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): |
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Your Organization(m): | If your organization is not listed here or if your organization is listed incorrectly please let us know.
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Dept./Division(m): |
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Sub Dept./Div.(m): | (if needed)
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I've been with this organization since(o): | YYYY-MM-DD (ie. 2012-10-24)
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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