Mentor Questionnaire
To help us match you with a mentee and administer the scheme, please complete the following questionnaire as fully as possible. You will see that some questions are mandatory and others are optional.
About you
Name
*
First Name
Last Name
E-mail address
*
Phone number
*
-
Code
Number
Your Rowing Club(s)
*
First club
Second club (if applicable)
Third club (if applicable)
Address
*
Street Address
Street Address Line 2
City/Town/Village
County
Post code
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Your expertise and experience
Rowing coach qualification
*
Add the title of your coaching qualification e.g. UKCC Level 2 Sliding seat
Rowing coach qualification date
*
Add the year that you passed your rowing coach qualification
Mentor training
Add details of any mentoring training that you have received and the month/year that you attended it. If you have not received any mentoring training so far, please add 'none'.
Other relevant qualifications
Add the title of any other relevant qualifications e.g Strength and Conditioning, Powerboat etc.
Continuous professional development - subject area
*
Add the title of the last relevant workshop or training event in relation to any aspect of rowing that you attended.
Continuous professional development - date attended
*
Add the date that you attended the workshop or training course above (month/year)
Practical rowing experience
*
Please add a brief summary of the experience that you have had with rowing so far.
Mentoring experience (if applicable)
Please add a brief summary of any mentoring experience that you have had in any context
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Your mentee
Maximum distance in miles that you are prepared to travel
*
Please note that is is not necessary to visit your mentee every month, arrangements can be made for the mentee to visit you or you can talk on the telephone.
Preferred type of mentee
Are there any types coaches that you would prefer to mentor e.g. racing coach, new starter, sweep, learn to row coach etc
Are there any types of coaches that you would prefer not to coach e.g racing coach, new starter, sweep, learn to row coach etc.
Do you have a current British Rowing CRB/DBS Check?
Yes
No
Submit
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