LeadUS Mentoring Program 2015-16

Partnership Request

Organization

(if applicable)

Representative Name

First NameLast Name

Title

(if applicable)

Contact Number

Area CodePhone Number

E-mail

example@example.com

Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Facebook Profile

(if applicable)

LinkedIN Profile

(if applicable)

Any other Partnerships you would like to share

Optional

Other Credentials You Would Like To Share?

Optional

In the following short questions, we ask you to briefly give us some insight into who you are! In no more than 150 words!

Thank you for considering WOEFAN as a partner! Is there anything else you would like to share?

How would you like help WOEFAN?

0/250

Are you willing to respond (answer your phone, come to an emergency meeting, etc.) when called upon! Of course, within reason and with proper notice!

0/100

Would you be willing to participate in fundraising, contributions for supplies, and volunteering? Of course, with in reason, and proper notice!

0/140

Do you have anything else you would like to add about yourself or WOEFAN?

0/140

Thank you so much for considering WOEFAN!

THERE IS NO WOEFAN WITHOUT YOU!