Mentor Program – Mentor Application Name* Date of Birth* DD slash MM slash YYYY Gender* Suburb* Email:* Phone number:* Current club and coaching position* Coaching qualifications* Program Interest and CommitmentWhy would you like to participate as a mentor?*What would you consider to be the most important qualities of a mentor?*What type of person would you like as your mentee?*How would you prefer to interact with your mentee? Face to Face Over the phone Text Messaging Email Other