1:1 Mentorship Interest Form

1

Full Name* This field is required.

First Name

Last Name

2

Age* This field is required.

3

Current Team & Division* This field is required.If you play for more then one team note the best team you play for.

4

Position* This field is required.

5

How many times per week are you currently training basketball?* This field is required.

6

Are you currently following a structured training plan?* This field is required.

Yes

No

7

Do you currently do any strength & conditioning training?* This field is required.

Yes

No

8

What do you feel is currently holding your game back the most?* This field is required.

9

What areas of your game are you most frustrated with right now?* This field is required.

10

Do you ever feel unsure if the training you’re doing is actually improving your game?* This field is required.

11

What are your basketball goals over the next 6–12 months?* This field is required.

12

What level do you want to reach in basketball long term?* This field is required.

13

Why are these goals important to you?* This field is required.

14

What do you feel you need to improve to reach that level?* This field is required.

15

Do you feel like you currently have a clear plan to get there?* This field is required.

Yes

No

16

How serious are you about improving your basketball?* This field is required.

Not serious

Extremely serious

17

If given the right plan and guidance, how many days per week could you commit to training?* This field is required.

1–3

3–5

5+

18

Are you willing to follow a structured development plan consistently?* This field is required.

Yes

No

19

If accepted into the mentorship program, are you in a position to invest in your development?* This field is required.

Yes

No

Need more info

20

Why should you be selected for this mentorship program?* This field is required.

21

I consent to be contacted by email and SMS

Yes

22

I acknowledge that the program is an online program and does not involve in-person training sessions

Yes