LLHSM Mentor Application 2021
Please complete this form to be considered as a Mentor. Support for this program provided in part by the Windham Foundation, as well as generous individual donors.
Name
*
First Name
Last Name
Organization/Title
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Email
*
example@example.com
Contact Phone
*
Please enter a valid phone number.
General Areas of Expertise
*
Collections Management
Collections Care/Preservation
Exhibits/Public Programs
Educational Programs (K-12)
Facilities/Historic Preservation
Administration/Board
Fundraising/Development
Public Relations/Marketing
Diversity & Inclusion
Emergency Management
Other
Brief Description of Your Background and Experience (please also attach a resume, CV, or bio below):
*
Please Identify Any Limitations to Your Participation as a Mentor (geographic limitations, time of year, types of institutions, etc.)
Resume/CV/Bio
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