Mentor Application - return to previous page
2011 MENTOR APPLICATION
AFP Central Ohio Mentoring Program
Participation as a Mentor is available to AFP Central Ohio Chapter members who have demonstrated expertise and
experience in various areas of fundraising. The program is intended for personal professional growth.
_____ I acknowledge the need of all fundraising professionals to continually build their skills
and I offer my services as an AFP Central Ohio Chapter Mentor. If appropriately matched, I will
serve as a Mentor for one year and report back to AFP Central Ohio Chapter at the conclusion
of the mentorship.
_____ I consider myself to be an advanced professional and am applying for the advanced
professional track.
Name: _________________________________ Professional Title:_____________________________
Employer: _______________________________________________ Phone: ____________________
Address: ___________________________________________________________________________
Fax: _________________ E-mail: _______________________ Cell or Home phone: _____________
AFP Membership Number: _________________ Years in Development: ___ CFRE: __yes __no
Please list the number of years you have worked in the following types of organizations:
___ Arts ___ Education ___ Grassroots Advocacy ___ Environmental
___ Health ___ Religious ___ Social Services ___ Animal Rights
___ International ___ Human Rights ___ Other: ________________________________
Please rate your experience in the following areas as: 1=extensive, 2=moderate, 3=limited, 4=none
Fundraising: ___ Annual Fund ___ Capital Campaign ___ Major Gifts ___ Planned Gifts
___ Direct Mail ___ Special Events ___ Foundations ___ Corporations
___ Membership ___ Small Shop Priorities ___ Management ___ Budgeting
___ Internal Supervision ___ Culture Building ___Other: ______________________
Public Relations: ___ Media Relations ___ Publications
Constituency Development: ___ Board ___ Alumni ___ Community ___ Volunteer
Indicate particular programmatic strengths you bring to this program:
Why do you want to participate in this program?
___ I am enclosing/attaching a current Resume or CV (REQUIED)
Please return the completed form to:
Ruth A. Watkins, Chair, Mentoring Committee
c/o Friendship, OH 43231
614-568-0282 (phone), 614-890-2661 (fax)