BG Map Mentor Application

Contact information

First Name(Required)

Middle Name

Last Name(Required)

Phone Number(Required)

Email Address(Required)

Languages Spoken

Address(Required)

Street Address (Mailing Address) City State ZIP Code

I certify that my answers are true and complete to the best of my knowledge.

Training

If accepted as a WSU Vancouver Volunteer in the Business Growth MAP, I agree to complete the basic orientation and training required of all volunteers.

Media Release

I understand that photos and video/audio recording of me may be made during Business Growth MAP meetings, events and activities that may be used in whole or in part by WSU to promote Business Growth MAP.

WSU Human Resource Services can contact me to initiate a background check.(Required)

Name

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Business Growth MAP Program

Carson College of Business

bgmap@wsu.edu

(360) 546-9533

Carson College of Business Center for Experiential Learning
Netzhammer Hall
Washington State University Vancouver
14204 NE Salmon Creek Avenue
Vancouver, WA 98686

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