Name First Last Email Why do you want to mentor? How long have you been cycling? Why did you start cycling? What’s your favourite part of cycling? Do you winter cycle?YesNoWhat type of cycling do you prefer? What time of day do you prefer cycling for leisure? What’s your usual/average availability?Pick all that apply. Mornings 6 - 12 Afternoons 12 - 5 Evenings 5 - 9 Weekdays Weekends What kind of music do you like? What type of sports do you play? If you play a musical instrument what one or ones? Please describe your family. Tell us about any members of your family you’d like to share:Please check all the words that describe you: Outgoing Independent Adaptable Quiet Shy Friendly Serious Adventurous Athletic Musical Artistic Curious Active What language(s) do you speak or understand? Please share your religious practices (if you’re comfortable disclosing):Do you have any allergies you feel comfortable disclosing? If so, which ones? If you have pets, which ones? If you have dogs or cats do you take them along when you cycle?YesNoWhat hobbies or activities do you enjoy on your own? Do you enjoy these winter outdoor activities?Choose all the activities you like to do. tobogganing cross-country skiing downhill skiing snowshoeing skating ice hockey or shinny Would you be interested in attending group outings or events with your mentee? Yes No Is there anything else you’d like to share with us?CommentsThis field is for validation purposes and should be left unchanged.