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Mentor Match Mentor Application
Name
*
First
Last
Address
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Texas
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Virginia
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Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Email
*
Phone
LinkedIn
Have you mentored any companies/entrepreneurs in the past
Yes
No
What kind of entrepreneurs do you want to work with? (Select all that apply)
Technology/SaaS
Fintech
Edtech
Insuretech
Agritech
Healthcare/Life Sciences/HealthTech/Bioscience
Consumer Tech/ecommerce
Consumer Product Goods
Food and Tech
What are your areas of expertise? (Select as many as are applicable)
*
Finance
Sales
Marketing
Technology
Corporate/business development
Management/leadership in growing/scaling a startup
Fund Raising
Intellectual Property
Other
Demographic Information
Ethno Racial Identification
Black
East and/or Southeast Asian
Hispanic, Latinx and/or Spanish
Indigenous
Middle Eastern and/or North African
Native Hawaiian, Pacific Islander, and or Polynesian
South Asian
White or Caucasian
Prefer not to say
Gender Identity
Female
Male
Non-binary
I prefer not to say
I prefer to self describe
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