Builder Application | Alberta Mentoring Partnership

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(Required)

Please enter the name of the individual filling out this application.

First Last

Pronouns

Email

Organization Information

Legal name of organization(Required)

Office Phone(Required)

Fax

Website

Facebook

Your organizations Facebook page.

Twitter

Your organizations Twitter page.

Instagram

Your organizations Instagram page.

Office E-Mail(Required)

Note: This e-mail will be used as your contact e-mail on your partner profile page.

Organziation Logo

If 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, Max. file size: 128 MB.

Mailing address(Required)

City(Required)

Province(Required)

Postal Code(Required)

Organization Contact

Position(Required)

The position of your organization contact.

Position Other(Required)

You answered other to your position. Please type in your position title.

Name(Required)

Please enter the first and last names of the main contact for your organization

Title

Salutation

Phone(Required)

Please enter the main phone number for your organizations main contact.

Fax

Cell

Email(Required)

Preferred method of contact

AMP Builder Checklist(Required)

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(Required)

Please type your name.

Submission date(Required)

Please choose todays date.

Once received, the Alberta Mentoring Partnership will review your application and notify you of acceptance.

CAPTCHA

Comments

This field is for validation purposes and should be left unchanged.

Partner Application - Builders

Organization Information

Organization Contact

Organization Details