Name Surname
Home Phone Number Cell Phone Number
Email Address
Tertiary Institutions Name Student’s ID Number
When would you like to do an internship?
Start Date

End Date
List the days and times you are available
What is your current qualification that you are enrolled for?
Describe any student organizations, job experiences, additional course work (undergraduate or graduate), skills, degrees, certifications, or licenses that you have that will help you with this internship / mentorship.
Describe your professional career goals and how this internship/mentorship will help you reach those goals.
Be specific about the experiences you want to gain through this internship/mentorship and why you believe this internship / mentorship can provide such an experience.
What sports do you want to specialise in?
Describe yourself in one sentence?