Application for Partnership – Builders Step 1 of 4 - Organization Information 0% Thank you for your interest in becoming involved with the Alberta Mentoring Partnership (AMP). Please review and complete the below Application and submit it to AMP. Please note there are two categories of partnership with AMP: AMP Agencies or Schools – are community organizations and schools that are running direct mentoring programs, formally or informally. AMP Builders – support the vision and mission of AMP, through advocacy or shared resources. This is the application to become an AMP Builder.Name*Please enter the name of the individual filling out this application. First Last Email Organization InformationLegal name of organization* Office Phone*FaxWebsite FacebookYour organizations Facebook page.TwitterYour organizations Twitter page.InstagramYour organizations Instagram page.Office E-Mail*Note: This e-mail will be used as your contact e-mail on your partner profile page. Organziation LogoIf you have a logo for your organization - please upload it so that it can be displayed on our website.Accepted file types: jpg, gif, png, pdf.Mailing address*City*Province*AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonPostal Code* Organization ContactPosition*The position of your organization contact.Select OneExecutive DirectorGeneralCommunity ProgramsFund DevelopmentMarketing/CommunicationsCommunity InvestmentOtherPosition Other*You answered other to your position. Please type in your position title.Name*Please enter the first and last names of the main contact for your organizationTitleSalutationMr.Mrs.Ms.MissDr.Rev.Hon.Phone*Please enter the main phone number for your organizations main contact.FaxCellEmail* Preferred method of contactEmailPhone Organization DetailsScope of organization*Select OneProvincialCanadian RockiesAlberta SouthAlberta CentralAlberta NorthCalgary and AreaEdmonton and AreaOrganization Description*Provide a brief description of your organization/agency and the region(s) you serve for your online AMP profile.Programs & Services Offered*Provide a brief description of the programs and services you offer, as well as any other relevant information, for your online AMP profile.Area of core focus*Identify the core focus and area of expertise of you organization (check all that apply): Research Volunteer Centre Health Network Youth Development Early CVhildhood Development Community Investment Child & Youth Advocacy Government Business Other Other Areas of Core Focus:*You selected "Other" as an area of core focus. Please insert any other areas of core focus here.How did you hear about the Alberta Mentoring Partnership?Why are you applying to become an Alberta Mentoring Partnership Builder?How does your organization advocate for and support the vision and mission of the Alberta Mentoring Partnership?*AMP Vision: Every child or youth who needs a mentor has access to a mentor. AMP Mission: Grow sustainable mentoring across Alberta through a shared services approach AMP Builder Checklist*PLEASE READ THE FOLLOWING CAREFULLY AND IF YOU ARE AGREEABLE, PLEASE INDICATE YOUR AGREEMENT TO THE FOLLOWING TERMS BY CLICKING “I AGREE” WHERE APPLICABLE: I verify that my organization has authorized and approved the submission of this information and desires to work with the Alberta Mentoring Partnership to support children and youth in Alberta. I understand that the information provided in this submission may be published on the Alberta Mentoring Partnership website or in their promotional materials. Upon approval as a partner of the Alberta Mentoring Partnership (“AMP”), and in consideration of such approval and the services, tools, opportunities and resources made available as a result of such approval, my organization/agency/school represents, warrants, acknowledges and agrees as follows : My organization is not directly operating a mentoring program for children and youth. My organization supports mentoring initiatives for children and youth in the province of Alberta. My organization will act as a champion and advocate for mentoring initiatives. My organization will advocate for and support the vision and mission of the Alberta Mentoring Partnership. My organization has authorized and approved the submission of this document. I AGREE Submitted by*Please type your name.Submission date*Please choose todays date. Date Format: MM slash DD slash YYYY Once received, the Alberta Mentoring Partnership will review your application and notify you of acceptance.CAPTCHAEmailThis field is for validation purposes and should be left unchanged.