JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2023 EPIP LA Mentorship Program Application
Applicants must be willing to participate in a group interview (likely via Zoom) during the second week of January and able to commit to the full year of the program, if selected.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Preferred Gender Pronouns
Your answer
Email Address
*
Your answer
Organization Name and Job Title
*
Your answer
How long have you been a paid EPIP member?
*
Your answer
How often do you attend EPIP LA events?
*
Your answer
How long have you been in your current position?
*
Your answer
How long have you been working full-time in the Foundation/nonprofit sector?
*
Your answer
Name three extra curricular activities
*
Your answer
List three reasons why EPIP LA's Mentorship Program would benefit you
*
Your answer
List three ways you would help contribute to EPIP LA's Mentorship Program
*
Your answer
What do you hope to gain from potentially being a part of the EPIP LA Mentorship Program?
*
Your answer
Are you able to commit to the program for a full year?
*
Your answer
Do you already have a mentor in mind? If so, please list here.
*
Please note that you are not required to have a specific mentor in mind. How you answer this question will not affect your eligibility.
Your answer
Do you see philanthropy as your long-term career plan? If not, please explain.
*
This question is meant to help the committee determine who will be the best mentors for the next cohort.
Your answer
Interviews are tentatively scheduled for the second week of January. Do you have any scheduling conflicts?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Emerging Practitioners in Philanthropy.
Report Abuse
Forms
