APRA-IN

Mentor-Mentee Application

For Members of the APRA-IN Chapter

Fill out and submit the online form below.

Name:  
I would like to be a:  
Title:  
Organization:  
Address:  
City:  
State:  
ZIP:  
Phone:  
Fax:  
E-Mail:  
   
Organization Type:  
Number of Staff:  
Database:  
Years in Research:  


Indicate by ranking 1 (highest) to 4 (lowest) the areas of focus that interests you most.

Research Skills:  
Prospect 
Management/Tracking:		  
Campaigns:  
Other:  

What would you look for in the ideal partner for the Mentor Program professionally and personally?


APRA-IN
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Richmond, IN 47375

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