Please complete the information below if you are interested in participating in the PGGNE mentoring program as a mentee to be matched with a senior planned giving/PGGNE colleague.  If you are interested in being a mentor, click here to go to the mentor questionnaire.

Mentee Contact Information

Full Name: 

Title:

Organization:

Address Line 1:

Address Line 2:

City:

  State:                 

Zip:

E-mail:

Phone:

Fax:

 # of Years in Development:                   
 # of Years in Planned Giving:                   
          

Previous experience (if not in development or planned giving): 
           

 What are you looking for in a Mentor?: 
           

Would you prefer a mentor from a specific type of organization?
If so, please list your top choices by type of organization:
          

Would you prefer a mentor from a specific state/region/city/town?:
          

What percentage of your time is currently spent on planned giving?: 
           

Additional comments?: