Parasport Mentorship Program

Mentor profile

First Name *

Last Name *

Email *

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

Password Confirm *

Address *

Country *

State / Province *

City *

Postal Code *

Phone Number

What is your previous coaching experience? (Able-bodied as well as Coaching Athletes with a Disability) *

What is your NCCP Number? (if you don't have an nccp number click here)

Which NCCP have you completed? *

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

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

Sports you coach and/or interested in coaching: *

If other, please explain:

How long have you coached athletes with a disability? *

I am looking to support apprentices in working with athletes who have the following types of disabilities: *

An Amputation Auditory or Speech Impairment Cerebral Palsy Visual Impairment Mobility Impairment Other

How did you hear about this program?

If other, please explain:

Complete 1 one-hour touch base per month with mentee coach you have been matched with (in person, Skype, phone, etc.)

I agree to the above terms of participating in Changing the Game – Para Sport Mentorship program as a Mentor coach *

Just let us know the email you use to sign in and we'll help you get your password back.

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