Branch Rickey Mentoring Program Application (Mentees)

Name:

Year in school:

Institution:

Sport(s) played:

Preferred contact method:

cell

email

Cell Phone:

Email:

Future career interest:

coach

athletic administrator

sports information director

Previous/Current work or volunteer in athletics (work study, volunteer, youth coach, etc):

Other co-curricular activities:

Why do you feel you are a good candidate for this program?:

Are you willing to commit one year to the program?:

yes

no

unsure

What do you hope to gain from this experience?:

If you had the chance to select your perfect mentor, what attributes would they possess? What position would they hold?:

What qualities would you like in a mentor?:

Please list possible topics you would like to discuss with your mentor:

Attach your resume:

Attach your transcript:

Coach Recommendation Letter:

Faculty recommendation letter:

Attach optional reference:

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