BIPOC Mentorship Program

Mentor profile

My details

First Name *

Last Name *

Email *

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

Password Confirm *

Address *

Country *

State / Province *

City *

Postal Code *

Sport *

If other, please explain:

Which of the following best represents your racial or ethnic heritage? *

If other, please state:

Are you actively coaching now? *

How long have you been coaching for? *

Which age group do you primarily coach (or plan on coaching)? **

What gender do you coach? * *

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

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

What is your NCCP number? (Please type N/A if you don’t have one yet) *

What is your current NCCP certification status? (View your profile or sign up for The Locker at thelocker.coach.ca (http://thelocker.coach.ca)) * *

Have you taken NCCP Mentorship? *

Have you been a mentor before? *

Tell us about your previous experience as a Mentor or in an informal Mentor role: *

Tell us about a time you had to deal with a challenge in coaching or leadership as a person of colour. How did you work through it? *

Is there anything else you would like to tell us about yourself? *

Mentoring Commitment

I understand that applying to the Coach 2 Coach BIPOC Mentorship Program does not necessarily guarantee participant if CAO and the Advisory Committee cannot make a suitable match. I am able to commit to monthly check-ins with my apprentice during the time frame of the Mentorship Program. I understand that my mentee may not be coaching in the same sport as me. *

I understand *