2021 MENTORSHIP PROGRAM

First Name *

Last Name *

Email *

Password * _{must be between
8 and 20 characters}

Password Confirm *

Address *

Country *

State / Province *

City *

Postal Code *

Tell us about yourself and why you are interested in becoming a mentor. *

NCCP Number

Which sport do you primarily coach, or would like to coach? *

If other, please explain:

Which region do you live in? *

Which city do you live in?

How long have you been coaching? *

Which age group do you primarily coach? *

Which gender programs do you coach? *

What level of participants do you coach (select all that apply):

Community (Grassroots, Recreational) Provincial (Competitive) National International

What level of NCCP training do you currently have? *

Did you transition from being a high performance athlete?(coming from provincial, post-secondary or above)? *

Which of the following is most important to you in a mentorship match? *

How much support do you expect to be able to offer your apprentice? *

Do you have experience coaching any of the following groups? (check all that apply)

Which 3 areas of professional development would you consider greatest strengths? (choose 3)

How many apprentices would you be interested in mentoring? *

How did you hear about this program? *

If other, please explain:

Have you participated in a previous CAO mentorship program? *

I understand that I will be matched with a new mentor/apprentice for this program year" For both mentor and apprentice

Please upload a resume which details your relevant coaching & mentoring experience *

Is there any additional information you would like to include?

I agree to the above terms of participating in Changing the Game as a mentor *

Female Mentorship Program