Note: You must be a member of the AFPNCOH chapter BEFORE
you apply for the mentor program. Click here for information about joining.

How many years have you worked in the sector?

How many people are in the development department where you work?

Face-to-face

Telephone

E-mail

Mentor Preference (optional) *Note: We will do our best to match your request

1.

2.

3.

I am aware that the time commitment is for one year. I understand that some of the information that will be shared by my mentor about his/her organization can be confidential in nature and I will respect this fact. I understand that the Mentoring Committee has the authority to make the decision as to whether or not I will be accepted into the AFPNCOH Chapter 2012 Mentoring Program.