Become a Mentor

Fill out the form below to become a mentor for an individual considering joining the building safety profession in your area. Help shape the future of our industry by sharing your expertise with someone new to building safety.

* Required Fields

What Program *

Check all that apply

• Military Families Career Path Program
• Technical Training Program
• Young/New Professionals

Mentor Name *

State *

AlabamaAlaskaAmerican SamoaArizonaArkansasCalifornia (North)California (South)Cayman IslandsColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming

City *

Email *

Cell Phone

Office Phone

Are you an ICC member? *

• Yes
• No

ICC Member Number

Are you a member of an ICC Chapter? *

• Yes
• No

Chapter Name *

Profession/experience *

Check all that apply
Hold the CTRL key (Command key on a Mac) to select multiple values

Code OfficialArchitectEngineerContractor/developerMilitary/veteranOther

Code Field *

Fire code officialBuilding code officialPMG code officialElectrical code officialEnergy officialPermit technician

Building code official *

• Plans examiner
• Inspector

PMG code official *

• Plumbing
• Mechanical
• Fuel gas
• Swimming pool/spa

Military Branch *

• Army
• Navy
• Marines
• Air Force
• Coast Guard

Other *

How many years have you been involved in the building safety industry? *

Are you willing to mentor someone locally (in-person) or remotely (electronic)? *

• Locally
• Remotely

Math Challenge: (8 plus one ) *

Photo

Upload a photo (.jpg, .gif, or .png file types allowed; maximum file size is 2MB)

Validate Email

The purpose of this form is to gather information that may help job seekers learn more about building safety career options. ICC will share your contact information with your assigned mentee(s), via print and electronic means. ICC assumes no responsibility for any errors or omissions in the information that is made available. In addition, ICC has no control over, and assumes no responsibility for, how the information may be used or applied, including but not limited to (1) who responds to the information or the accuracy or truthfulness of any data provided by any such respondent, (2) any use of the information by third parties for commercial purposes, or (3) any other reproduction or redistribution of the information.