Mentor Form

AIPG Mentor Form

To be part of the AIPG Mentor Program (Mentors are required to be CPGs or Professional Members), please fill out the form below which will be available for Mentees to review.

You can include as much or as little information as you think is appropriate. The purpose is to guide the Mentees in their search for a Mentor suitable to their interests and professional goals.

Mentees will have access to your email address only for the initial contact. After that, you and the Mentee can discuss the best way for future contact.

If you have any questions, please email aipg@aipg.org or call 303-412-6205.

Thank you,

AIPG National Headquarters

Full Name *(your full name)
AIPG Member Number *CPG or MEM (Mentors are required to be CPGs or Professional Members)
Company
Country(US, UK, Canada, Mexico, etc.)
State(Alabama, Colorado, Georgia, etc.)
Email *(Your email for the mentee to contact you.)
Affiliation(Industry, Academia, Government, other)
Primary Language(English, Spanish, German, etc.)
Secondary Language(English, Spanish, German, etc.)
Focus of Areas of Interest and/or Research(Environmental, Mining, Hydrogeology, etc.)
Relevant Education and School(s)
Relevant Work Experience
AIPG Activities
Personal Philosophy on Mentoring
Other Relevant Information

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AIPG Mentor Form