NEW_VMP Program Information & Training Request

Program Information & Training Request Questionnaire

Thank you for your interest in mentor training!

You're being asked to complete this questionnaire so VMP can keep an accurate record of your program's mission, activities, number and type of youth served. This way, we can better provide training and resources to you and your mentors.

You will also be asked to indicate dates and times when you would like for VMP to provide training for your group--so please have this on hand.

If you have questions at any point during the survey, please contact Rebekah Holbrook at (804) 828-1536.

Thank you!

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1. Contact Information

Contact Information First Name
Last Name
Title
Phone
Email
Name of School/Organization
Organizational Website

2. Is your mentoring program affiliated with a larger organization? If so, please indicate the organization's name.

Is your mentoring program affiliated with a larger organization? If so, please indicate the organization's name.

3. Mailing Address

Mailing Address Street/P.O. Box
City
State
Zip Code

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4. Does your organization/school have a mentoring program?

Does your organization/school have a mentoring program? Yes: Please complete the following survey to tell us more about your program(s).

No: Please complete the following survey to let us know more about the potential for mentoring at your organization/school.