LLHSM Mentors Program Application

LLHSM Mentors Program Application

Please complete this form to apply for a mentorship. Support for this program provided in part by the Windham Foundation, as well as generous individual donors.
Organization*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Name*

First NameLast Name
Contact Email*
example@example.com
Contact Phone*
Please enter a valid phone number.
Brief Description of Organization (mission, staffing, programs, etc.)*
Organization has the following:*

Archival CollectionsObject CollectionsHistoric Building(s)
General Area in Need of Assitance (Choose 1)*

Collections ManagementCollections Care/PreservationExhibits/Public ProgramsEducational Programs (K-12)Facilities/Historic PreservationAdministration/BoardFundraising/DevelopmentPublic Relations/MarketingDiversity & InclusionEmergency ManagementOther
Please briefly describe the issue or challenge you seek to address through the program*
Please identify any steps you have already taken to address this issue or challenge:*
By submitting, this applicant certifies the following:
- This application is being made with the authorization of the organization’s governing board or authorized personnel.
- The applicant has read, understands, and will comply with the program guidelines.
- The organization agrees to pay the $50/100 mentorship fee.
Should be Empty: