Women In Coaching - Mentor Program

Online Mentor Progrm - Women in Coaching - Coaching Association of Canada

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Women in Coaching > Online Mentor Program

TO BECOME AN ONLINE MENTOR Please complete all fields
First Name:		Last Name:
e-mail:		Language:
City:
Province/Territory:		Country:
Sport:
NCCP CC#:		NCCP Certification Level:
I am a CPCA member:	Yes No
Number of years in coaching:		Age of athletes you coach:
Priority	Skill areas in which I am confident providing feedback/assistance in (rank in order of priority, 1 = most confident, 3 = least confident):
1
2
3
Reference Information, at least one of whom will attest to your coaching abilities.
First Name:		Last Name:
Email:
First Name:		Last Name:
Email:

Comments:
Disclaimer: The role of the Women in Coaching Program in this project is to assist interested women coaches to establish mentorship relationships.The Women in Coaching Program and the Coaching Association of Canada assume no responsibility or liability for damage, harm or loss incurred by coaches providing mentor services, or by coaches being mentored, arising as a direct or indirect result of any mentorship relationship or the Women in Coaching Online Mentor Program. Note to participants: A mentorship relationship frequently involves the sharing and discussion of personal and/or sensitive information. Participants in the Women in Coaching Online Mentor Program agree to respect the privacy and confidentiality of such information by not sharing it with other parties unless expressly authorized to do so by the participant providing such information. I wish to receive the Women in Coaching eNews: I have read and agree to accept these responsibilities: Yes

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