Certificate of Executive Leadership Mentor Application
Please fill out this form to apply to be a mentor with the Certificate of Minority Executive Leadership program through the Center for Nonprofit Resources.

Mentors must be willing and available to meet with their assigned protege(s) four times between March and September 1, 2018. Mentors will be offered a small stipend for their time.

Sponsored in part by:
What is your first and last name? *
What is your phone number? *
What is your email address? *
Who is your employer (if applicable)?
What is your role with the above organization?
How did you hear about being a mentor with the Certificate of Minority Executive Leadership?
Why are you interested in being a mentor with the Certificate of Minority Executive Leadership program?
To ensure you are paired with an appropriate protege, please answer the following questions:
In which areas do you have experience and would feel comfortable mentoring others? *
Required
What is your gender? *
What is your race? *
Please write any additional question(s) you may have.
I have read and understand the Expectations and Requirements of a mentor for the Certificate of Minority Executive Leadership. http://www.c4npr.org/clientuploads/Mentoring%20Guidelines%202018.pdf *
Thank you for applying to be a mentor for the Certificate of Minority Executive Leadership program!
We will be accepting applications until January 19, 2018. If you need to contact us before this time please email Toni Shoola at toni@c4npr.org or call 419-241-9513.
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