PROTEGE REGISTRATION FORM
Yes! I want to become a WSPN protege and learn from other development
professionals.
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 Interest:
Please indicate specific
expectations or desired
outcomes:
PLEASE NOTE: In addition to completing this form, a copy of yor resume must  be sent to
Connie Kobitter at
crkevents@ageguide.org
Thank you for your interest in joining the West Suburban Philanthropic Network
(WSPN)'s Mentoring Program.  Please complete and submit the form below.  A
member of our mentoring committee with contact you shortly.
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