Illinois Park and Recreation Association: Mentor Registration Form

Protégés,

Thank you for your interest in the Mentoring Program at IPRA. We are excited to offer our members this opportunity from those professionals who have extensive experience in the field.

Below is a registration form where you may choose up to 3 possible mentors. Once submitted, the Mentoring Committee will review your choices and contact you within 48 hours to provide a match. Please be sure to enter all 3 possible mentors.

The Mentoring Committee

Name:

E-Mail:

Work Phone:

Agency:

Job Title:

Choice 1:

Choice 2:

Choice 3:

Gender:

Male Female

Main Areas of Interest (check all that apply)

Admin&Finance

Therapeutic Recreation

Facility Mgmt.

Communications & Marketing

Recreation

Parks & Natural Resources

Legislation

Grant Writing

Please include any other information you would like considered by the Mentoring Committee.

Protégé Registration Form

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