Mentor 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 and mentees within a close driving distance
CFRE Certified:
Max. file size: 128 MB.
Please Indicate the Area(s) for Which You Are Able to Offer Guidance to a Mentee.(Required)
How would you like to meet?
Acceptance of Requirements and Responsibilities of Being a Mentor(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 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. ***