DISE Mentor Application

Thank you for your interest in the 2019 CCIA Diversity, Inclusion & Social Equity (DISE) Mentor & Networking Event on May 16th , 2019!

The following application is for individuals who would like to be a Mentor at this event.

Mentors are required to be CCIA members in good standing with the organization.

Fields marked with an * are required.

Cannabis Expertise Field
Please select one or multiple fields of expertise you have in the cannabis industry