PLACES Alum Mentoring Program Signup
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Contact Information
First Name
Middle Name
Last Name
Suffix
Work Email Address
Personal Email Address
Mobile Phone Number
LinkedIn URL
SMS Opt-In
By checking this box, I agree to receive text messages from The Funders Network and/or my assigned mentor/mentee.
Preferred Contact Method
How would you like to connect with your mentor/mentee?
Work Email
Personal Email
Text
Phone Call
LinkedIn Messages
Pronouns
Organizational Affiliation
Organization Name
Your Title
Organization Website URL
Enter the full URL, including the "http" part, e.g.: https://www.fundersnetwork.org
Org Account Id
Organization Membership Status
Which best describes your organization?
Community Foundation
Consulting / Advisory
Corporate Giving Program
Donor-advised Fund
Educational Institution
Faith-based Foundation
Family Foundation
Financial Institution
Funding Collaborative
Funding Intermediary
Government
Media
Non-profit Grantmaker
Non-profit Organization (Non-funder)
Operating Foundation
Philanthropy-Serving Organization
Private Foundation
Research Institution
Other
Which best describes your organization's geographic scope or funding areas?
Local
Statewide
Regional (Multi-state)
National
International
State Served
Please select...
Alabama
Alaska
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California
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District Of Columbia
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Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
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Specific Locality Served
Application
I would like to participate as a ...
Mentor
Mentee
Interest and Goals:
Why would you like to join the PLACES Alum Mentoring Program
?
Interest and Goals:
What kind of support are you looking for through this program? Please describe career and skill building goals that you need support with.
Professional Skills and Experience:
What professional skills and/or experiences do you believe you could support your mentee with?
Do you have experience working in other sectors, outside of philanthropy?
Please briefly describe that work, along with the number of years of experience.
Mentoring Experience:
Although mentoring experience is not
required
to
participate
in this program,
we'd
like to know what
previous
experience you have mentoring youth or adults. Please share any formal or informal
experiences.
Mentor Preferences:
What are important attributes or qualities that you would like to see in your mentor? Please also share any factors that you think we should consider in pairing you with a mentor (e.g., geography, lived experience, identities, etc.)
What career stage(s) are you in?
Unemployed/seeking work
Early career (up to 5 years)
Mid-career (5-10 years)
Senior (10+ years)
Self-employed / consultant
Looking to transition into a new field / sector
Career Goals:
Are you interested in learning about a particular sector? Please describe.
Mentors must be at least 35 years of age with over 10 years of professional experience to be eligible to participate in this program. Please confirm that you meet these criteria before submitting an application.
Birth year
(used to calculate age ranges)
Years of Experience
Accommodations:
How can TFN help you participate fully in this program?
Demographics & Background
The information shared in this section is optional, but may be used to match mentors and mentees, and/or in the aggregate to track the diversity of the network as a whole.
Background:
Please share any relevant aspects of your lived experience and/or identity you feel could be helpful for mentor/mentee pairing
.
Bio:
Please share a short bio so that we can introduce you to other program participants.
City of Residence
State of Residence
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Race / Ethnicity
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latinx
Native Hawaiian or Pacific Islander
North African or Middle Eastern
White
Prefer not to say
Other
Race / Ethnicity: Other
The Fine Print
Liability Waiver
I hereby assume all of the risks of participating in this program, and waive, release and discharge TFN and its directors, board members, officers, and employees from any and all liability. I agree to indemnify, hold harmless, and promise not to sue the entities or persons mentioned above from any and all liabilities or claims made as a result of participation in this activity or event.
Code of Conduct
I agree to abide by TFN's
Code of Conduct
.
Do Not Share Option
To foster a network and communication, TFN may share participants' name, title, employer, and work email address with other funders via its Member Portal. If you would like to opt out of this and other TFN directories, please check below:
Do not share my information.
Email Subscription
By submitting this form, you consent to receive email from The Funders Network, including the TFN Newsletter, event and program announcements, and more.
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