Mentor application

If you would be interested in joining this exciting pilot programme in the Midlands Region as a mentor, please complete the expressions of interest form below. Applications for mentees are currently closed.

Your application has been successful submitted

Thanks for your interest in joining our mentoring programme. If you have been successful, a member of our team will be in touch via the email address submitted in the form.

Your details

Please enter your name

Please enter a valid email address

Please enter your date of birth

Would you like to sign up to the programme as a: *

Please select one option below

What level of officiating qualification do you hold? *

Please select a qualification below

How long have you been officiating for? *

Please select how long you've been officiating below

County*

Please select a region below

What discipline do you officiate? *

Please select a discipline below

As the data controller, England Athletics Limited take the protection of the data that we hold about athletes, volunteers, coaches and officials seriously and will do everything possible to ensure that data is collected, stored, processed, maintained, cleansed and retained in accordance with current and future UK data protection legislation and our privacy policy. In this instance we are collecting your personal data in order to fulfil a service that you are registering for and we are providing to the sport. The details you supply in this application will be used only in association with the administration of this project. We will retain the data you have provided for as long as is necessary for the completion of this project.

Please confirm you are not a robot

Your nomination seems to have some errors or be incomplete

Submit