Coach 2 Coach BIPOC Mentorship Program Application - Apprentice

First and Last Name *

Email address *

Full Mailing Address *

Sport *

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

Please upload your coaching CV to the folder. Please ensure your coaching and sport experience is provided on the CV.

Maximum file size: 52.43MB

Are you actively coaching now? *

Yes

No

What age do you coach? *

What gender do you coach? *

Male

Female

CoEd

Which competitive context do you coach? *

Community/Grassroots

Competitive/Development

Post-secondary (College or University)

Provincial, National or Professional

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

Is it important to you that you are paired with the a mentor of the same racial background as you? *

Yes

No

Have you been mentored in the past? *

Yes

No

If “yes” to previous question, please describe

Please list 2-3 priority areas for coach support and leadership that you would like to improve if selected for this program *

In general, what are you looking for in a mentor? *

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? *

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 mentor during the time frame of the Mentorship Program. I understand that my mentor may not be coaching in the same sport as me.

I understand

Coach 2 Coach BIPOC Mentorship Program Application – Apprentice