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SCORE Member Engagement Request
The Member Engagement Request Form shall be used to request manpower support from the Score Minneapolis Chapter.

Requestors, please complete the online form providing complete details of the support required.

Completed Requests will be forwarded electronically to the Member Engagement Committee for processing.

This form should NOT be used to request Mentoring - Use the web site tab "FIND A MENTOR" for this service!

Requesting Organization Name *
Your answer
Requestor Name *
Your answer
Requestor Cell Phone Number *
Your answer
Requestor Alternate Phone Number
Your answer
Requestor email Address *
Your answer
Re-Enter Requestor email address
Your answer
Please describe the event for which you are requesting SCORE resources. If available, include link to a description of the event e.g. promotional piece, registration page, hosting partner website, etc. *
Your answer
Event/Activity Description
Your answer
Even/Activity Start Date *
MM
/
DD
/
YYYY
Event/Activity End Date *
MM
/
DD
/
YYYY
Event/Activity Recurring Frequency
Your answer
Event/Activity start time
Time
:
Event/Activity end time
Time
:
Additional Event/Activity Comments
Your Answer
Your answer
Number of Resources Needed *
Your Answer
Your answer
Specific Responsibilities (Choose all that apply)
Skill Sets Requested (check all that apply)
Skill Set Comments
Your answer
Industry Experience Requested
Experience Comments
Your answer
Please Review your answers before Clicking the submit button below
Comments & Suggestions for improving this process
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