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Mentor Application Form
Mentor Application Form
Thank you for your interest in becoming a mentor in the GRIDIRON GEMS CLUSTER Mentorship Program, an extension of the Gridiron Gems Initiative. This mentorship ecosystem connects experienced women with girls and young women within the Gridiron Gems community to support their development in sport, leadership, career pathways, and personal growth. Your mentorship can help shape the next generation of female leaders on and off the field.
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SECTION 1: Personal Information
Full Name
*
First
Last
Email Address
*
Phone Number
*
Occupation (short (short
City / State of Residence
*
Address Line 1
City
State / Province / Region
LinkedIn or Professional Profile (Optional)
SECTION 2: Professional Background
Current Occupation / Role Organization / Institution Industry / Sector
*
Sports & Athletics
Sports Administration
Coaching / Training
Media / Communications
Law / Governance
Business / Entrepreneurship
Education / Academia
Health & Wellness
Technology / Digital Skills
Development Sector
Other
(select one or more)
Years of Professional Experience
*
1–3 years
4–7 years
8–12 years
13+ years
SECTION 3: Mentorship Areas
Which mentorship track would you like to support?
*
Athlete Development
Leadership & Governance in Sport
Career & Skills Development
Personal Development & Well-being
(select up to two)
SECTION 4: Mentorship Commitment
How many mentees are you comfortable mentoring?
*
3–5 mentees
5–8 mentees
More than 8
How often can you commit to mentorship sessions?
*
Once a month
Twice a month
Quarterly
Preferred mentorship format?
*
Virtual sessions
In-person sessions
Hybrid
SECTION 5: Mentorship Motivation
Why would you like to mentor girls within the Gridiron Gems community? (short answer)
*
SECTION 6: Skills & Expertise
What specific skills or experiences would you like to share with mentees? Example: Leadership, athlete discipline, entrepreneurship, public speaking, confidence building, career planning. (short answer)
*
SECTION 7: Availability
Are you willing to commit to a 6-month mentorship cycle?
*
Yes
No
SECTION 8: Final Question
What message would you like to share with the next generation of girls entering sport and leadership? (short answer)
*
Submit