Connect to a Mentor  Survey

Contact Information

Name

Address

City/State/Zip

County

Email Address

Cell Phone

School Name (if applicable)

Year in School (if applicable)

Occupation (if applicable)

Are you a Farm Bureau Member

Yes

Farm Bureau Membership Number

If you would like to learn more about joining Farm Bureau, click here.

After reviewing the mentor profiles, please indicate which mentors you are interested in being paired with?

First Choice

Second Choice

Why are you interested in connecting with a Farm & Career Mentor?

Please check both boxes below if you accept the terms of participating as a mentee.

SC Farm Bureau’s role in the Farm & Career Mentor program is to facilitate connections between those seeking a mentor and those willing to share their life experiences. Mentor’s thoughts & ideas are independent of SC Farm Bureau and do not directly reflect the beliefs and/or policy of SC Farm Bureau.

This program is intended to facilitate connections over phone, email, text, or virtual meeting platforms. If mentors/mentees choose to meet in person, it is an independent decision and activity unrelated to this program and SC Farm Bureau is not liable.