2018 CCIM Mentoring Program - Mentor Application Question Title * 1. Please provide your contact information. Name Company Address City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * 2. What courses toward the CCIM designation have you completed? CI Intro CI 101 CI 102 CI 103 CI 104 I have my CCIM designation Question Title * 3. What industry segment do you have experience? Office Retail Industrial Land Medical Multi-Family Other (please specify) Question Title * 4. How many years of real estate experience do you have? 0-1 Years 2-3 Years 4-5 Years Greater than 5 years Question Title * 5. What is your main objective of being a part of the Mentoring Program? Question Title * 6. Are you a current active chapter member? Yes No Question Title * 7. Have you ever participated in the mentoring program before? Yes No Done