A big part of what a mentor will do is help you think through your goals and methods. We’ve prepared a form to help you show us how you have prepared up to this point to achieve what you have set out to do. It will also help us prepare the resources to respond to your request.

We’ll get back to you soon.

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1. What is the mission statement of your project, or its goals / purposes?*

2. What outcomes / results are you seeking to achieve?*

3. When did you begin, or plan to begin operations?*

4. Please list at least 2 other people who are committed to helping you*

5. Describe how your project connects to the mission statement of Origins Partnership.*

6. What type of support are you looking for from Origins Partnership (select all that aply)?*

Advisory (consulting, legal, finance, content development, etc.)
Planning (creating a strategic or operations plan)
Marketing, promotion and PR
Training and speaking
Mentoring / coaching to achieve better results
Networking to make new connections
Financial (apply for a grant from Origins Partnership)
Fund-raising advisory (help raising money – planning, strategy, etc)
Other (please describe in comments below)

7. What other support or advisory services have you sought or accessed?

8. (Short essay) Considering its stated mission, why do you think Origins Partnership should support your project?*

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