2024-25 CEFMA Mentorship Program Application

Thank you for your interest in participating in the CEFMA Mentorship Program. Please take a few moments to complete the application form below. The responses you provide will be used to place you with an educational mentorship pod for the 2023-24 academic year.

Please note: You MUST be a paid member of CEFMA in order to participate in this program. If you are unsure of your membership status, please login to your account at http://members.nacda.com and proceed to 'My Transactions' to view your memberships.

Any questions related to the Mentorship Program may be directed to Cam Trudell (ctrudell@nacda.com in the NACDA office or any member of the 2023-24 CEFMA Membership Committee

NOTE: Once identified, contact information for participants will be shared with the other individuals assigned to their mentorship pods.

Name:*

First NameLast Name

Title:*

Institution/Affiliation:*

Email Address:*

Office Phone:*

Mobile Phone:*

Local Time Zone:*

Division*

Role Preference within pod:*

Mentor (7+ years of full-time experience)Mentee

Did you participate in the CEFMA Mentorship Program last year?*

YesNo

Information included in the following fields will be proactively shared with individuals assigned to your educational mentorship pod in an effort to jumpstart conversation.

How long have you been employed in intercollegiate athletics? (please round up to the closest year)*

How long have you been in your current position? (please round up to the closest year)*

Please list any previous positions you have held. Include title and institution/affiliation.*

Please briefly explain your current responsibilities.*

2024-25 Mentorship Program Application