Mentor Application - return to previous page

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.

Mentor Application
_____     I acknowledge the need of all fundraising professionals to continually build their skills and 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.  

Name: ___________________________________  Title: ____________________________________

Employer: _______________________________________________  Phone: ____________________

Address: ___________________________________________________________________________

Fax: _________________  E-mail: _____________________________  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   ___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? _________________________________________

____________________________________________________________________________________

Attach your current Resume or CV to your mentor application.

Please return the completed form to:
Terry Schavone, Chair Mentoring Committee
c/o The Columbus Foundation, 1234 E. Broad Street, Columbus, OH  43205
614/251-4000 (phone) 614/251-4009 (fax)
tschavon@columbusfoundation.org