NFHS - Mentoring Program Application
Organization Name: ____________________________
Primary point of contact: _____________ Position: ______________
Phone number: _________ Alternate Phone: _______________
Email address: ____________ Website: _________ ______
Other staff who may participate:
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A benefit of membership with the National Federation of Humane Societies is participation in the mentoring program. Is your organization a member of the National Federation now? ____Yes ______No
If not, are you willing to join if you are provided a special Mentoring Membership Rate? ____Yes ____No
Mentee Criteria:
- Applicant must have decision making ability for the organization or Board approval
- Desire and commitment to be actively involved in the process
- Coordinate participation of other members within mentee organization
- Jointly develop a mentoring plan & reporting/feedback mechanism to share progress with the committee on how the mentee/mentor relationship is impacting the mentee organization
- Has your organization's leadership team/board endorsed the mentee relationship?
- How do you see the mentee/mentor relationship impacting your organization?
- What will be your top four areas of focus during the mentoring relationship?
______ Marketing & Development ______ Accounting and Financial Management
______ Pet Retention Programs ______ Low-cost high volume spay/neuter
______ Admissions philosophy ______ Volunteer training/engagement
______ Operational Best Practices ______ Management & board development
______ Foster Programs ______ Using data to measure progress
Building community relationships Live release rates
Other aspects requiring help (specify)____________________________________________
I understand that my mentor organization and their designees are volunteering time to help us advance and grow our organization. I fully understand that it is my organization's sole responsibility to decide whether to execute any advice or suggestions I may receive from my mentor and/or other NFHS program participants, mentors or mentees. I further understand that neither the NFHS nor my mentor is responsible for the success or failure of any items or ideas which we discuss. I further understand that, if I am selected for participation as a mentee, NFHS reserves all rights to terminate my participation in the Mentoring Program at any time with written notice. Similarly, I understand that I can terminate my participation in the Mentoring Program at any time with written notice.
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Signature Title Date
Mail completed application to:
The National Federation of Humane Societies
808 Cottage Street SW
Vienna, VA 22180-6355


