Name (required):

Email (required):

Are you a current AIGA member? (required)
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If yes, what is your membership number?

Mailing Address:

Phone number:

Preferred method of contact:
EmailPhone

School attended:

Current year of study:
FreshmanSophomoreJuniorPre-juniorSenior

Major:

Anticipated graduation date:

Which area(s) of design are you most skilled in?

Which area(s) of design are you least familiar with and would like to learn more about?

Personal hobbies:

Favorite designer:

Favorite typeface:

What do you hope to gain from the AIGA Cincinnati mentoring experience?