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

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

Question Title

* 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?

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* 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)

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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

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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?

1. Please Provide Your Contact Information

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

3. Please share your gender identify?

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)

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

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

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)

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

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

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

11. Please describe yourself, check your top three

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

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

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

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

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

18. Please list your social media channels

19. What SCARPA athletes do you follow for inspiration?

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