2024 SCARPA Athlete Mentorship Application Survey

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* 1. Please Provide Your Contact Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. What under-represented community (ies) do you identify with? EX. Black, Hispanic, LGBTQ, Adaptive, etc.

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* 3. Please share your gender identify?

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* 4. What sport and discipline is your main focus? (Please rank #1 as your main focus, #2 as your second, up to 5 disciplines if applicable)

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* 5. How would you rate your experience level in your main sport of focus?

	Under two years	Two to five years	Five to ten years	Ten Years+
Beginner	Beginner Under two years	Beginner Two to five years	Beginner Five to ten years	Beginner Ten Years+
Advanced	Advanced Under two years	Advanced Two to five years	Advanced Five to ten years	Advanced Ten Years+
Intermediate	Intermediate Under two years	Intermediate Two to five years	Intermediate Five to ten years	Intermediate Ten Years+
Expert	Expert Under two years	Expert Two to five years	Expert Five to ten years	Expert Ten Years+

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* 6. Please elaborate on your ability, experience, and professional training as rated above.

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* 7. Why Are You Looking To Find A Mentor? (Please rank #1 as the most important, #2 as the second, up to 5, if applicable)

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* 8. What Are You Specific Short Term Goals?
500 characters or less

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* 9. What Are Your Specific Long Term Goals?
500 characters or less

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* 10. How Would You Prefer To Communicate With Your Mentor? (Please rank 1 - 5, one being your top choice)

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* 11. Please describe yourself, check your top three

Extrovert

Introvert

Fluid

Structured

Funny

Focused

Process Oriented

Goal Driven

Exploratory

Adventurous

Cautious

Sensitive

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* 12. What qualities would your ideal mentor have? Check top 2 answers

Outgoing

Funny

Serious

Organized

Adventurous

Process Orientated

Formal

Informal

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* 13. How are you involved within your community? EX. Volunteering, Non-For-Profit work, coaching, tutoring, etc.

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* 14. How will you pass on what you learn in our program, to others?
500 characters or less

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* 15. What do you consider your biggest barrier for success?
500 characters or less

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* 16. What access do you currently have, to practice your sport? EX. Gym, trails, equipment.

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* 17. How much time do you have to dedicate to this program?

More than 3 hours per week

1 - 3 hours per week

1 - 3 hours every other week

1 - 3 hours per month

Less than 3 hours per month

2024 SCARPA Athlete Mentorship Application

Question Title

* 1. Please Provide Your Contact Information

Question Title

* 2. What under-represented community (ies) do you identify with? EX. Black, Hispanic, LGBTQ, Adaptive, etc.

Question Title

* 3. Please share your gender identify?

Question Title

* 4. What sport and discipline is your main focus? (Please rank #1 as your main focus, #2 as your second, up to 5 disciplines if applicable)

Question Title

* 5. How would you rate your experience level in your main sport of focus?

Question Title

* 6. Please elaborate on your ability, experience, and professional training as rated above.

Question Title

* 7. Why Are You Looking To Find A Mentor? (Please rank #1 as the most important, #2 as the second, up to 5, if applicable)

Question Title

* 8. What Are You Specific Short Term Goals? 500 characters or less

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* 9. What Are Your Specific Long Term Goals?500 characters or less

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* 10. How Would You Prefer To Communicate With Your Mentor? (Please rank 1 - 5, one being your top choice)

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* 11. Please describe yourself, check your top three

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* 12. What qualities would your ideal mentor have? Check top 2 answers

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* 13. How are you involved within your community? EX. Volunteering, Non-For-Profit work, coaching, tutoring, etc.

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* 14. How will you pass on what you learn in our program, to others? 500 characters or less

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* 15. What do you consider your biggest barrier for success?500 characters or less

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* 16. What access do you currently have, to practice your sport? EX. Gym, trails, equipment.

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* 17. How much time do you have to dedicate to this program?

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* 18. Please list your social media channels

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* 19. What SCARPA athletes do you follow for inspiration?

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* 20. Is there anything else you would like us to know about you or the type of mentor you are looking for?

* 8. What Are You Specific Short Term Goals?
500 characters or less

* 9. What Are Your Specific Long Term Goals?
500 characters or less

* 14. How will you pass on what you learn in our program, to others?
500 characters or less

* 15. What do you consider your biggest barrier for success?
500 characters or less