CWY Teen Mentorship Application Name * First Name Last Name Age, Grade and School * Email * Parent/Guardian Name and Phone Number * Do you have parent/guardian permission to participate? * Yes No, I am still working on that... Do you have any prior sports or cheerleading experience? * please explain... Do you have previous volunteer or leadership experience? * please describe... What skills do you possess that would make you a good mentor? (e.g., patience, communication, good with children...) * How do you feel you could positively impact the children you will be coaching? * please explain... What would you do if you noticed a child was feeling left out or excluded by their peers during practice? * please explain... Check all activities you may be interested in aiding with... * CWY is flexible to wishes of mentors but all assignments are subject to availability and may not be what is picked.... You may pick multiple!! All events are first come first serve... Summer Exhibition Squad June-Aug (Tues/Thurs 5:30-7:30 practices) Competition season Nov-April (Sat practices) Summer Camp (one week, July 7th-12th) Competitions/Performances Camas Days Parade (July 25th) I want to help regularly all year but on certain days I am available (can change/be flexible) I will volunteer the 6hr min. but unsure of my schedule I am interested in learning advanced coaching skills when I am eligible such as medical response, tumbling and stunting. Are you committed to the minimum required volunteer hours (6 hours) and to participating in the 1 day mandatory training? Yes No Have you been in legal trouble, or convicted of a crime? please explain the situation Do you participate in other extra curricular/sports? Do you agree to undergo a background check if over the age of 16, with your parents consent? Please explain above if we should know about anything, we want to hear what happened to better understand... Yes No I am ready to be a CWY Teen Mentor/Coach!! I can’t wait! I think so... Thank you!