Coach Mentorship Application

Respondent

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First name *

Last name *

Email *

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Date of birth *

Address *

City *

Country *

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Region *

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NCCP Number *

NCCP Number

Please Select Your GymBC Member Club

Leave blank if you are not currently with a club, but all participants are required to be registered members for the 2022-2023 membership year.

I am applying to be a *

Mentor Mentee Both/either x Clear

Why do you wish to participate in the Mentorship Pilot Program? *

Why do you wish to participate in the Mentorship Pilot Program?

If you are applying as a Mentee, what do you hope to get out of the program? If you are applying as a Mentor, what strengths do you bring to the program and what do you hope to get out of it? *

If you are applying as a Mentee, what do you hope to get out of the program? If you are applying as a Mentor, what strengths do you bring to the program and what do you hope to get out of it?

Please select the statement that best reflects your comfort with virtual mentorship *

This does not impact selection for the program, only pairing options.

I am completely comfortable with completing tasks virtually I could complete some tasks virtually I would be able to complete tasks virtually if needed, but I strongly prefer not to I will only be able to complete tasks if I can do so in person x Clear

Is there anything else you wish for us to know? *

Is there anything else you wish for us to know?

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