MENTOR REQUEST FORM – Houston Beekeepers Association

Complete this form if you are requesting a mentor.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

County:(Required)

Phone(Required)

Email(Required)

Do you have bees already?(Required)

If applicable, approximately when did you first acquire your bees?

How many colonies do you have or plan to start?(Required)

What type of equipment do you use/plan to use?(Required)

Are your hives registered with the Texas Apiary Inspection Service?(Required)

Describe your beekeeping goals:(Required)

What is the extent of your beekeeping education?(Required)

What beekeeping classes have you taken?(Required)

Please type a brief description of your interest in the program:(Required)

What is your timeline for keeping bees or having a mentor?(Required)

Would you like your mentor to visit your hives?(Required)

Would you visit your mentor's hives?(Required)