Mentor Registration

We have launched our Champion Mentors initiative because we believe it is the single most powerful program we can deploy to arm unemployed and under-employed veterans with the tools they need to complete for quality employment, or start businesses. Our Champion Mentors initiative is an integral part of our 'Six Months to Success" veterans' employment plan, which uses business mentors. Education programs and employment conferences/boot camps to jump start veteran employment. Our founding principle is simple. We are asking each of our Champion Mentors to team up, one-on-one, with an unemployed or underemployed mentee, with a special focus on veterans who are wounded, disabled or homeless.
We also ask our Champion Mentors to put their personal "networks" at the disposal of the veteran mentees, so that the veteran job seekers or entrepreneurs can follow smart "networking" leads and find their paths to success.
By entering my personal information, I consent to receive email, phone and personal communications from VAA based on the information collected. We will also be running a background check on all mentors. If this is not agreeable to you please do not complete the application.

Mentor Registration

	Fields marked * are mandatory
First Name: (*)	Invalid Input
Last Name: (*)	Invalid Input
Email: (*)	Invalid Input
Best contact number: (*)	Invalid Input
Did you serve in the military?	YesNo Invalid Input
If yes, what branch, years of service and rank when discharged:	Invalid Input
Employment status	EmployedRetired Invalid Input
	If employed
Title	Invalid Input
	Work contact info that you would like to provide:
Email:	Invalid Input
Phone:	Invalid Input
Address	Invalid Input
Briefly describe your business and responsibilities:	Invalid Input
What is your favorite hobby or other interests outside of your business?	Invalid Input
Are you well connected with associations such as alumni or the Chamber of Commerce? If so please describe:	Invalid Input
Security Code	Invalid Input