MENTOR REGISTRATION FORM
Thank you for your interest in being a mentor to another WSPN member.  
Please complete and submit the form below.  A member of our mentoring
committee with contact you shortly.
 
 
Yes! I want to become a WSPN mentor and help others in the development field.
First Name*
Last Name*
Title
Organization
Address
City
State
ZIP
Work Phone
Fax
Home Phone
Cell Phone
Email*
Are you a WSPN Member?
Are you a CFRE?
Are you an AFP Chicago Member?
Years in Development*
Please list your professional
memberships
Please provide a brief
description of your
organization. (Include mission)
Additional information such as brochures, annual reports,
etc. may be provided separately.
Annual Operating Budget
Net Fundraising Goal
Total Staff
Development Staff
Development Volunteers Available
Type of Agency
If other, please
indicate type:
Area(s) of Expertise
Planned Giving
Annual Campaigns
Budget
Direct Mail
Special Events
Grantwriting
Major Gifts
Capital Campaigns
Corporate Giving
Foundation Support
Board Development
Marketing/PR
Volunteer Development
Career Development
Other
Connie Kobitter at crkevents@ageguide.org