NCAC Branch Rickey Mentor Program Application

NCAC Branch Rickey Mentor Program Application
Personal Information
Full Name

First NameLast Name
Year in School
Future Career Interest
E-mail
Campus Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell Phone

Area CodePhone Number
Athletics Background
Previous/Current work or volunteer activity in athletics (work study, volunteer, youth coach, etc.)
Other Co-Curricular Activities
Program Goals
Are you willing to commit one year to this program?
Comment, if No
Why do you feel you are a good candidate for this program?
What do you hope to gain from this program?
Mentor Information
If you had the chance to select your perfect mentor, what attributes/qualities would they posess? What position would they hold?
Please list possible topics you would to discuss with your mentor. What are areas you would like to learn about this profession??
Required Documents
Upload a copy of each of the following: 1. resume, 2. transcript, 3. two letters of recommendation (one must be from a faculty member and one must also be from a coach if you are a student-athlete). 4. An optional third letter of reference is also permitted.
Resume

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Transcript

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Faculty recommendation

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Coach Recommendation

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Recommendation

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