Umpire Mentee Application

Full Name (Required)

Date of Birth (Required)

Province/Territory (Required)

Local Association (Required)

Address (Required)

Email (Required)

Phone (Optional)

NCCP # (if applicable) (Optional)

Will you be able to commit to meeting with your mentor at least once a month? (I.e. in person, online meetings) (Required)

Years of Officiating Experience (Required)

What level of officiating certification have you completed? (I.e Level II) (Required)

What are your current goals as a official? Please be as specific as possible (I.e. Official at the 2025 Canada Summer Games). Include timelines if possible. (Required)

What aspects of your officiating would you want to develop through this mentorship program? (Required)

What does mentoring mean to you? (Required)

What is most important for you in the mentee/mentor relationship? Please include anything you feel would help us in the matching process. (Required)

Resumé or CV (Optional)

Letter of Support (Optional)

Headshot (Optional)