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Mentor Program Application Form

To participate in the Mentor Program, you must be a member of WID and willing to make a minimum three-month to maximum six-month commitment.

* = Required Fields

I would like to be a:	Mentor
	Mentee

* Date:
* First Name:
* Last Name:
* Job Title:
* Organization:
Street Address
* Line 1:
Line 2:
* City:
* State/Province:
* Zip/Postal Code:
* Phone Number:
Fax Number:
* E-mail Address:
* Number of years in Development:

For Mentors:

I would be most comfortable advising on:

Annual Support
Board Governance
Capital Giving
Database Management
Fundraising Events
Grant Writing
Management
Major Gifts
Planned Giving
Research/Prospect Management
Other:

What is your management style?

For Mentees:

I would like advice on:

Annual Support
Board Governance
Capital Giving
Database Management
Fundraising Events
Grant Writing
Management
Major Gifts
Planned Giving
Research/Prospect Management
Other:

How do you like to be coached?:

Mentees will be offered a Mentor contact within 30 days, if available.

For further information on the WID Mentor Program, contact Caryl Lattof at (617) 547-1063 X206 or lattofc@ccrcinc.org.

Mentor Program Description