Name *

First Name

Last Name

Primary Phone *

(###)

###

####

Do you have a degree (undergrad or graduate) in Sport or Performance Psychology? *

Yes

No

Do you have any direct service experience (internship, early career experience, working with teams, etc.)? *

Yes

No

Have you ever worked with a mental performance mentor? *

Yes

No

Do you have any recorded footage of you doing mental performance consulting work that you can share? *

Yes

No

Do you have an existing client base? *

Yes

No

Have you identified availability in your schedule to accommodate regular mentorship sessions? *

Yes

No

Have you reviewed your household budget to accommodate these mentorship sessions? *

Yes

No

Have you considered how quickly you want this process to go? *

Yes

No

Do you have any issues or concerns with mentorship sessions via zoom? *

Yes

No