Coyote Pride Application Apply Today! Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Do you have previous experience as a mentor? *yesnoAre you of Indigenous Ancestry? *yesnoIf yes, please note your band, tribe or settlementName *FirstLastDate of Birth: *Gender *MaleFemaleOtherEmail *Contact Number *Place of current work or schoolingEmergency Contact Name *Emergency Contact Number *Do you have any Medical Concerns/Conditions?Special Certificates/Training you possess: (First-aid, Non-Abusive Restraint, etc)Child Intervention Check *yesnoYou will need this in order to be added to the mentor listCriminal Record Check *yesnoThis will be paid for by Bent Arrow, should you be a successful candidate. You will need this in order to be added to the mentor listI am available to mentor: *Once a weekTwice per monthWhich day of the week are you able to Mentor? *MondayTuesdayWednesdayThursday FridaySubmit
