2024 D4 Mentor Program
Join us for the 2024 D4 Mentor Program as a Mentor, Mentee, or both! Gain valuable knowledge from experienced Recreation Professionals and build your network. 

This form will close on Friday, May 24th.

We know the initial conversation can be scary and weird, so we are going to do the hard part for you...we will connect you and start the conversation!  D4 representatives will be following up with pairs with introductions and recommendations for next steps by Friday, May 31st.  

Pairs will be encouraged to connect with each other over the Summer and your presence will be requested at our membership meeting on Wednesday, September 18th where we will highlight the program and provide an opportunity for in-person socializing.

If you have questions, contact Molly Crossfield, email: mcrossfield@burlingame.org 

Thank you,
Nicole Houghton & Molly Crossfield  
D4 President & D4 Director at Large 
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Participant's Full Name (First and Last) *
Email *
Phone Number  *
 Agency and/or School *  
*
What best describes you?  *
Job Title (if employed)   
*
County of agency 
What program areas do you have experience overseeing? (Check all that apply)  *
Required
What program areas would you like to gain more experience in? (Check all that apply)  *
Required
  I am interested in being a  
*
Required
If you selected mentor, are you willing to have multiple mentees?   
*
If needed, do you have access to virtual meetings (ex: Zoom or Teams)?  
*
Do you prefer to meet in person or over zoom/phone?  *
How much time would you like to dedicate to the D4 Mentor program each month?  *
Please provide a brief description of your experience in recreation and/or community services.   
*
Please provide a brief description of your career goals in the recreation and community services profession.   
*
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