Survey - RESOLVE Volunteer Committee Mentor Application 2023: - RESOLVE: The National Infertility Association

RESOLVE Volunteer Committee Mentor Application 2023:

Thank you for your interest in becoming an Advocacy Day Volunteer Committee Mentor. Prior to filling out the application, please view the Volunteer Committee Informational Webinar. If you have any additional questions, contact advocacyday@resolve.org.

1. Please fill out the following information:

Field Is Required First Name

Field Is Required Last Name

Employment Information

Field Is Required Employer:

Field Is Required City/Town:

Field Is Required State / Province:

Field Is Required Email:

Field Is Required Phone Number:

Yes, I would like to continue or start receiving email communication from RESOLVE.

2. Field Is Required What is your relationship to infertility?

3. Field Is Required Have you watched the Volunteer Committee Informational Webinar?

4. Field Is Required Why do you want to be a Volunteer Committee Mentor? (Maximum response 255 chars, approx. 5 rows of text)

5. Field Is Required Have you previously served on the Committee? (This is a requirement for the position)

6. Field Is Required What committees and skills can you provide mentorship and advocacy expertise? (Please check all that apply) Please make between 1 and 9 selections from the choices below.

7. If you answered Other Skills in the question above, please explain: (Maximum response 255 chars, approx. 5 rows of text)

8. Field Is Required How much time do you have available to commit to mentorship?

9. Field Is Required Are you comfortable mentoring more than one mentee at a time?

10. Field Is Required Are you able to commit to a mentorship timeline for the volunteer committee from October 2022 to April 2023?

11. Is there anything else you would like us to know? (Maximum response 255 chars, approx. 5 rows of text)

Spam Control Text: Please leave this field empty