The Fellowship Kansas City - Women's Mentorship Program

First Name

Last Name

Phone Number

Email

Zip Code

Which role are you wishing to fill in the mentorship relationship?

Mentor

Mentee

What is your availability? (Check all that apply)

Daytime

Evening

Weekend

What are you hoping to gain through your participation in this program?

Is there anyone you have in mind to possibly be grouped with?

There will be a mandatory Kick-Off event for this program on January 30th at 6:30-8:00pm. This will be mandatory for participation in the program.

WOMEN'S MENTORSHIP PROGRAM