LIHEAP Peer-to-Peer Mentoring Program Profile Form - Mentor Participant Name: Grantee Name: Why do you want to participate in this program? (Include your desired goals for participation.) Please select topics that are of the most interest to you. (Click on the box to place an in it.) “X” Vendors Systems Relationships Systems requirements Agreements System management/maintenance Data exchange Funding new systems and upgrades Reporting and Analysis Data Collection Using data to prepare reports Applications Using data for performance Data release management Data definitions Policies for Subgrantee Contracting Financial Management Procurement/acquisitions Budgeting and funds tracking Monitoring Subgrantee Coordination/Relationships Subgrantees, vendors, secondary Memoranda of Understanding (MOUs) state agencies Training Developing the LIHEAP Model Plan Weatherization Contractor Designing a Benefits Matrix Program Improvement using Performance Information Other (Please specify below.) One Multiple Would you prefer to have one mentee or multiple Mentee Mentees mentees?
LIHEAP Peer-to-Peer Mentoring Program Profile Form - Mentor Participant Name: Grantee Name: Why do you want to participate in this program? (Include your desired goals for participation.) Please select topics that are of the most interest to you. (Click on the box to place an “X” in it.) Vendors Relationships Agreements Data exchange Systems Systems requirements System management/maintenance Funding new systems and upgrades Reporting and Analysis Using data to prepare reports Using data for performance management Data Collection Applications Data release Data definitions Policies for Subgrantee Contracting Procurement/acquisitions Financial Management Budgeting and funds tracking Monitoring Subgrantees, vendors, secondary state agencies Subgrantee Coordination/Relationships Memoranda of Understanding (MOUs) Training Developing the LIHEAP Model Plan Weatherization Contractor Designing a Benefits Matrix Program Improvement using Performance Information Other (Please specify below.) Would you prefer to have one mentee or multiple mentees? One Mentee Multiple Mentees
mentor_sign_up_form.docx