Name (required):

Email (required):

Are you a current AIGA member? (required)
---YesNo

If yes, what is your membership number?

Mailing Address:

Phone number:

Preferred method of contact:
EmailPhone

Employer:

Highest level of school completed:

Major:

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

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

Personal hobbies:

Favorite designer:

Favorite typeface:

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

Are you willing to answer mentor-related questions from students via e-mail?
---YesNo

Are you willing to answer mentor-related questions from students via phone?
---YesNo

Are you willing to answer mentor-related questions from students in a scheduled face-to-face meeting?
---YesNo