Mentee Application Form

Name(Required)
If you cannot remember your AFP Member ID, please contact AFPWM Chapter Administrator Deb O’Donnell at afpwestmichigan@gmail.com or Kristin Long at Kristin.Long@corewellhealth.org or Libby Wahlstrom at libby.wahlstrom@beaconhillgr.org
Address(Required)
*This will help us, pair mentors, within close driving distance
Max. file size: 128 MB.
Please Indicate the Area(s) for Which You Are Seeking Guidance:(Required)
How do you prefer to meet?(Required)
Acceptance of Requirements and Responsibilities of Being a Mentee(Required)
I am aware that the time commitment is for approximately 9 months. I understand that some of the information that will be shared by my mentor about his/her organization can be confidential in nature. I have read and agree to the program participation requirements and responsibilities. I understand that the Mentorship Committee has the authority to make the decision as to whether or not I will be accepted into the AFP West Michigan Mentorship Program. *** I have read and agree to the requirements and responsibilities of being a mentee as stated here. ***