Breed health co-ordinator – mentor scheme - enquiry form This enquiry form allows The Kennel Club and the BHC Mentors to know a little more about you, your circumstances and the sort of assistance you need. The completed form will be sent to your chosen mentor who will assess what kind of mentoring will be required and will get in touch with you. Before completing this form we ask that you first look at the BHC Mentor information sheet, if you haven't done so already, to help you identify which mentor would suit you best - Please see BHC Mentor Scheme homepage. Name Breed How long have you been a breed health co-ordinator? How long have you been involved in the health of the breed? How would you describe yourself? Select an option New to the role of BHC Experienced Very experienced Is your position as breed health co-ordinator associated with a particular breed club? Select an option Yes No Does your breed have a health council or health group? Select an option Yes No Are there others in your breed that support, or assist you in your role (i.e. are you part of a health committee or do you have health co-ordinators who assist you)? Select an option Yes No Do you feel that you are well supported in your role? What are the biggest challenges you face as a breed health co-ordinator? What priorities do you feel you need to address in your breed over the next 12-18 months? What significant projects have your breed been working on in the last 12-18 months? What has prompted you to seek advice from a mentor? Is there any further information about you that you feel would help your mentor assist you? Please provide your email. Please provide your telephone number. Are you happy for your contact details to be passed on to your chosen breed health co-ordinator mentor? Select an option Yes No What sort of mentoring support will work best for you? Select an option Face to face Telephone Email What canine events do you typically attend if you need to meet with your mentor (shows, trials, competitions)? Are you a member of the breed health co-ordinator Facebook group? Select an option Yes No Next Privacy Your privacy is very important. We retain your data in accordance with our privacy policy.