Request to Host a Coach-Mentor Training
Organization Info
Point of Contact Name
Point of Contact Email
Point of Contact Phone Number
Organization Name
Organization City
Organization State
Primary Affiliation of Organization
Please select...
Sport Club/League
Out-of-school youth organization
K-12 School
College or University
Parks and Recreation Department
Other
If other, please explain.
Primary sport of the coaches involved in the training (Please select all that apply)
Soccer
Basketball
Lacrosse
Softball or Baseball
Volleyball
Golf
Football (American)
Track & Field
All sports
Other
If other, please explain.
Please provide a short excerpt on the work your organization has done and is currently doing in your community
How do you feel your coaches will benefit from this training?
Would your organization be interested in hosting multiple trainings?
Please select...
Yes
No
Is your organization able to provide classroom space for the training, including AV?
Please select...
Yes
No
Please provide potential dates and times that you could host a Coach-Mentor Training
Is your organization willing and able to pay the $5000 fee to host a Coach-Mentor Training?
Please select...
Yes
No
Is your organization a Community-Based Organization?
Please select...
Yes
No
Is your organization able to organize a minimum of 40 coaches for the Coach-Mentor Training
Please select...
Yes
No
If so, how many total coaches do you believe your organization can get involved in the Coach-Mentor Training
Are you interested in receiving a value in kind grant to host a free Coach-Mentor Training?
Please select...
Yes
No
Thank you for providing all of the information above, feel free to leave any additional comments below and we will be in touch with you shortly.
Contact Information