Changemaker Mentorship Program - Member Request Form
The program matches a local expert with a Roundhouse member (you) for a set term where they will work to achieve co-created outcomes.
Please fill out this form to identify your needs and challenges to help us pair you with one of our expert consultants. We'll be in touch to chat about the options available.
Sign in to Google
to save your progress.
Learn more
* Required
Email
Your answer
Name (first and last)
*
Your answer
Organization Name
Your answer
What stage of development is your business in?
Pre-Start Up
Start-Up
Growth and Development
Scaling
Mature
Clear selection
What are some of the specific challenges you are facing? Please provide some context and detail for your items.
*
Your answer
Select if you would like to be matched for a one-time appointment or a three-month term with the meeting frequency to be determined between the expert and yourself.
*
One-time
Three-month term
Required
Indicate if there are specific topics you'd like to be matched with. Keep in mind we'll try pairing you with a specialist in their respective field.
*
Human Resources
Program Evaluation
Fund Development/Alumni
Marketing
Social Mission/Brand
Fund Development
Evaluation
Entrepreneurs
Data Analytics
Industrial Design
Social Mission/Organizational Structure
Business Development
Accountability
Accounting/Taxes
Social Media
Other:
Required
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of MacEwan University.
Report Abuse
Forms
