Sample Form 2 - Coaches Association of Ontario

First Name *

Last Name *

NCCP# *

Sports that you coach *

Age of athletes you have coached (Select best answer) *

Athletes coached *

Males

Females

Both

Years of coaching experience *

What is the competitive context of your coaching experience? *

Community/Grassroots/Recreation

Competitive/Developmental

Post-Secondary

Provincial and above

What level of NCCP training do you have at this time? *

None yet

In-training

Trained

Certified

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

Essential – Connecting once a month. Primarily phone or email communication is ok.

Moderate – Connecting once or twice a month by email or phone. 1-2 in person meetings over the course of the year.

Frequent – Connecting 2+ times a month. More frequent in person meetings over the year. Attending a practice or game.

Do you have coaching experience in any of these areas? (Select all that apply)

Developing a Coaching Career (Post-Secondary, Provincial Team, etc.)

x

Coaching Athletes with a Disability

x

Coaching Aboriginal Athletes

x

Coaching in Newcomer Communities

x

Coaching LGBTQ Athletes

x

Coaching Special Needs Athletes

x

How did you hear about this program?

Have you participated in a previous CTG program year? *

Yes

No

How many Apprentice Coaches would you be comfortable mentoring during the 2019 year? *

1

2

Please upload your resume of relevant coaching & mentoring experiences *

Maximum upload size: 52.43MB

Responsibilities of a Changing the Game – Changing the Conversation Mentor Coach

1. Complete 1 one-hour touch base per month with your apprentice coach (in person, skype, phone etc.)
2. Develop and submit a learning plan
3. Be an active member of online forum and coach support network
4. Mentors are encouraged to complete Mentorship NCCP module *

I agree to the following terms of participating in Changing the Game – Changing the Conversation as an Mentor Coach*