2022-23 Nordiq Canada Women In Coaching Mentorship Program: Mentee Coach Application Form  
To be considered for the Women in Coaching Mentorship Program, a complete application must be submitted by August 22, 2022.
Email *
Name *
Club and Division *
Address (City, Province, Postal Code) *
Phone Number *
Do you have a preference to your mentor's gender identification? *
Please indicate your proficiency for speaking/understanding the languages below: *
Very Well (fluent)
Well (Conversation)
Minimal
Not at all
English
French
What is your NCCP coach certification number? *
Outline your previous coaching experience (please include coaching role and years of experience). Please specify current province, club, age group/level you are currently coaching and have coached. Alternatively, you may submit your resume/CV directly to Julie Beaulieu - Sport Development Director (jbeaulieu@nordiqcanada.ca). *
What is motivating you to become a mentee in the Nordiq Canada Women in Coaching Mentorship Program?
How would you describe your coaching philosophy (the values, principles and beliefs that govern what you do as a coach).
What goals are you hoping to achieve by being part of this program? 
Do you allow Nordiq Canada to share your responses to your motivations for applying as a mentee with your assigned Mentor?
Clear selection
I have read the Nordiq Canada Women in Coaching Mentorship Information Package and agree to complete all required mentorship program training, screening and evaluation. I understand the time commitment and expectations required of me as a Mentee within this program.
Clear selection
Thank you for completing this form. Please ensure all of the following have been completed no later than August 22, 2022. 
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