MENTOR VOLUNTEER FORM – Houston Beekeepers Association

Complete this form if you interested in volunteering as a Mentor.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

County:(Required)

Phone(Required)

Email(Required)

Approximate date you became a member of HBA:(Required)

Approximate date you started keeping bees:(Required)

How many hives do you have?(Required)

What type of equipment do you use?(Required)

How do you best describe your beekeeping operation?(Required)

Where is your apiary located?(Required)

Street Address Address Line 2 City State ZIP Code

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

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

Describe your beekeeping experience. (example: Constructing woodenware, installing packages, colony splitting, requeening, honey extraction, honey sales, swarm collecting, etc.)(Required)

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

Are you willing and able to respond to telephone calls or emails from a Mentee within 24 hours?(Required)

Would you allow a Mentee to visit your apiary?(Required)

Would you be willing to visit your Mentee's apiary?(Required)

How far are you willing to travel? (In miles)(Required)