Name *

Email *

Phone *

Organization *

Title *

How long have you been in your current role? *

What other role titles have you held during your Career? *

What GRPA District are you affiliated with? *

Enter required value 1 2 3 4 5 6 7

What current GRPA Committees do you serve on? *

I am looking for a mentor with experience in the following: *

Athletics Programming

Athletics- Competitive/Travel/Tournaments

Aquatics Programming

Aquatics Staffing

Aquatics Facility Maintenance

Senior Recreation

Outdoor Recreation

Therapeutic Recreation

Camps

After School

Cultural Arts

Special Events

Music Venues

Parks Maintenance

Facility Maintenance

Master Plans

Capital Project planning

Capital Project Construction

Organizational Leadership

Budget Development

Marketing

Community Engagement

Team Development

I am looking for: *

Leadership

Career Development

Guidance for Professional Development

Understanding the Field

Other

When I am not at work I……. (hobbies, activities) *

I am willing to dedicate two hours per month for 6 months (program minimum) to the program? *