Mentor Application Form Name(Required) First Last TitleAFP Member IDIf you cannot remember your AFP Member ID, please contact AFPWM Chapter Administrator Deb O'Donnell at afpwestmichigan@gmail.comOrganizationOrganization Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code City of Residence(Required)* This will help us pair mentors and mentees within a close driving distanceMobile Phone:(Required)Work Phone:Email(Required) Number of years of experience in fundraising?(Required)0-5 Years6-10 Years11-15 Years16-20 Years20+ YearsCFRE Certified: Yes No Other certifications, designations, etc:Please include a current resume.(Required)Max. file size: 8 MB. Size of Development Department Where You (Most Recently) Work(ed):Small (0-2 People)Medium (3-10 People)Large (10+ People)Please Indicate the Top 3-5 Area(s) for Which You Are Able to Offer Guidance to a Mentee.(Required) Annual Giving Board Governance Board Training Capital Campaigns Career Development Communications Corporate/Foundation Relations Database Management Direct Mail Donor Development Ethics Grant/Proposal Writing Major Gifts - Individuals Marketing Peer-to-Peer Campaigns/Giving Planned Giving Prospect Research Public Relations Special Events Sponsorships Stewardship (Donor Recognition) Strategic Planning Volunteer Management Other In 250 words or less, please share why you would like to be part of the mentorship program.How would you like to meet? In Person Virtual Both Are you able to join us for the Mentorship Program Kickoff hosted on Thursday, September 24 at 8:30 AM at GVSU's DeVos Center for Interprofessional Health? Yes No Unsure Acceptance of Requirements and Responsibilities of Being a Mentor(Required) I ACCEPT 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 mentee about his/her organization can be confidential in nature. 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 mentor as stated here. *** I have read and agree to the requirements and responsibilities of being a mentee as stated here. ***CAPTCHA
