Section 1 of 1
MBCA Mentor/Mentee Application
Mentors must have 5 years of head coaching experience or be retired from coaching.
Mentees must have 3 or less years in current position (either in new location or coaching level).
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Name
Name
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Cell phone number
Cell phone number
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Mailing Address
Mailing Address
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Please select which position you are applying for:
Please select which position you are applying for:
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Mentor
Mentee
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Current position (mark all that apply)
Current position (mark all that apply)
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College Student
Middle School Assistant Coach
Middle School Head Coach
High School Lower Level Head Coach
High School Assistant Coach
High School Head Coach
Retired
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Current school
Current school
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MBCA Region where you coach or live (retired)
MBCA Region where you coach or live (retired)
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Region 1 - Southeast
Region 2 - Southwest
Region 3 - Northeast
Region 4 - Northwest
Region 5 - Central
Region 6 - South Central
Region 7 - St. Louis
Region 8 - Kansas City
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Anticipated Class Size
Anticipated Class Size
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Class 1
Class 2
Class 3
Class 4
Class 5
Class 6
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Current coaching position (or position at retirement)
Current coaching position (or position at retirement)
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Girls
Boys
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I agree to meet once per month (7 months) via phone, zoom, or in person with my mentor/mentee.
I agree to meet once per month (7 months) via phone, zoom, or in person with my mentor/mentee.
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Yes
No
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I agree to meet as a group via zoom on Sunday, October 2nd at 8:00 PM
I agree to meet as a group via zoom on Sunday, October 2nd at 8:00 PM
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What day of the week works best for you to meet? (mark all that apply)
What day of the week works best for you to meet? (mark all that apply)
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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