Mentor/Mentee Application Form
Full Name:
*
First Name
Last Name
Organization & Title:
*
Years in Development:
*
Mentees only: Please state primary goals for mentoring:
*
I wish to participate in the Mentoship Program as a:
*
Mentee
Mentor
Resource
I prefer to mentor in the following areas / I need guidance in the following areas:
*
Planned Giving
Annual Fund
Stewardship
Events
Database Management
Endowment
Major Donors/Major Gifts
Board Development
Leadership Responsibilities
Corporate Sponsorship
Direct Mail
Development Planning
Grant Writing
Program Performance Evaluation
Other
Logistics/Preferences
Meeting Day
Monday
Tuesday
Wednesday
Thursday
Friday
Times
Morning
Afternoon/Lunch
Evening
Location
At my workplace
Other meeting preference
Workplace or meeting preference location
My preferred method of contact is:
Email
Cell Phone
Work Phone
Text
E-mail
*
Cell Phone Number
-
Area Code
Phone Number
Work Phone Number
*
-
Area Code
Phone Number
Submit
Print Form
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