Application to be Assigned a Mentor

The fields marked with an asterisk are required.  Please fill out the rest of the form as completely as you can.  This will help us give you the best match possible.  Thank you.
*Station name:
Station budget:
*Zip code:
*Telephone number:
*E-mail address:
*Length of time in current position:
Number of staff you supervise:
Characteristics which you seek in a mentor:
List your areas of responsibility:
Format of your station:
Check the development area where you wish to have a mentor. You may select more than one.:
Major giving
Planned Giving

* - denotes required field

Providing a supportive environment for public radio development professionals