Mentoring Program Application Name* First Last OrganizationMember of NWPGRT? Yes No Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* What are your expectations of the Mentoring Program?Please give a brief description of your planned giving development experience.How long have you worked in the planned giving / development field?How long have you been in your current position?Please rank the following topics in order of most importance in your work with your mentor: (Drag each item to reorder)Planned Giving Overview, Philanthropy and EthicsDonor RelationsUnderstanding and Designing Charitable GiftsLanuching an Endowment CampaignPlanned Giving Program ManagementCareer PlanningStarting a Planned Giving ProgramDeveloping a Planned Giving CommitteeVolunteer ManagementFinancial and Estate PlanningOTHER - If there is another topic that is of importance to you, please list it here.Overall rank of OTHER topic.By submitting this application, I agree to meet with my NWPGRT Mentor for approximately 2 hours per month for six months. At the end of the mentorship I will complete an evaluation of the program.SignatureNameThis field is for validation purposes and should be left unchanged.
