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Fellowship Support Form
Step
1
of
2
50%
Name
(Required)
First
Last
Email
(Required)
Phone
Company/Organization Name
Job Title/Role
How did you hear about the Wealth Builders Fellowship?
I am reaching out as
(Required)
an individual
an organization
I am interested in
(Required)
Hosting a Session
Mentoring a Fellow
Providing In-Kind Donations (Goods/Services)
Funding a Fellow or Fellows
Hosting a Session
What type of industry/organization do you represent?
(Required)
Financial Institution
Corporate Office
Hospital
University
Law Firm
Technology
Nonprofit
Other
If other, please describe.
Where is your office/facility located?
(Required)
Street Address
Address Line 2
City
What is the max capacity of the space?
(Required)
Are you able to provide lunch for the session?
(Required)
Yes, lunch will be onsite
Yes, lunch will be catered
No, lunch will not be provided
Would your team be interested in providing a brief tour or a 15-minute "window into your world" presentation/panel?
(Required)
Yes
No
Which dates would work best for your team to host?
(Required)
Aug 15 - Banking and Budgeting
Aug 29 - Big Life Decisions and their Financial Impact
Sept 12 - Credit and Cost of Debt
Sept 26 - Income and Taxes
Oct 10 - Saving and Investing Fundamentals
Oct 24 - Investing and Diversification
Nov 7 - Protecting Yourself and your Wealth
Nov 21 - Getting Job Ready
Dec 5 - Celebration
Mentoring a Fellow
Briefly describe your professional background and areas of expertise.
(Required)
LinkedIn Profile
Why are you passionate about mentoring underserved high school students?
What is your availability for mentoring?
(Required)
Occasional conversation check-ins
Participating in panel discussions
Attending fellowship events
Attending graduation
Have you mentored youth or volunteered in a similar capacity before?
(Required)
Yes
No
If yes, please describe.
(Required)
Providing In-Kind Donations (Goods/Services)
Which types of goods and/or services are you interested in donating?
(Required)
Meals/Snacks
Transportation Support
Printing Services
Event Supplies
Technology/Hardware
Professional Services
Prizes/Incentives
Photography/Videography
Other
Please briefly describe the good/service you'd like to donate.
(Required)
Is this a one-time donation or a recurring/ongoing contribution?
(Required)
One-time Donation
Recurring/Ongoing
Will the items need to be picked up, or can they be delivered/shipped to our office?
(Required)
Yes, items need to be picked up
No, items can be delivered
Pick-Up Location
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Funding a Fellow or Fellows
How many Fellows would you like to sponsor?
(Required)
Half Scholarship ($900)
One Fellow Scholarship ($1800)
Two Fellow Scholarships ($3600)
Custom Scholarship
Scholarship Amount
(Required)
Would you like to be recognized on social media, promotional materials and graduation or do you prefer to remain anonymous?
(Required)
Yes; please include my name/business name in social media, promotions, and graduation
Yes; only on social media
Yes; only on promotional materials
Yes; only at graduation ceremony
No; I'd like to remain anonymous
Are you interested in attending fellowship events or meeting the student(s) your sponsorship supports?
(Required)
Yes, please send more details
No