Coach 2 Coach BIPOC Mentorship Program Application - Mentor

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

How long have you been coaching for?

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) *

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? *

Yes

No

Have you been a mentor before? *

Yes

No

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

What motivates you to become 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? *

What is the most important part of a Mentor-Apprentice working relationship? *

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 mentee 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

Coach 2 Coach BIPOC Mentorship Program Application – Mentor