Name *

First Name

Last Name

Phone *

(###)

###

####

What level of commitment are you interested in? *

Mentor (8-12+ Hours)

Advisory Board (12-16 hours)

Investor in Residence (40+ hours)

Entrepreneur in Residence (80+ hours)

If you answered 'Mentor' above, which of the following are you interested in?

Check all that apply.

Facilitating an accelerator workshop

Hosting office hours

Sustained mentorship

In which of the following areas do you feel you have expertise/skills you could teach our entrepreneurs? *

Check all that apply.

Accounting/Bookkeeping

Banking

Business Development & Sales

Business Modeling

Data Analytics

Design

Digital Marketing/SEO/Social Media

Financial Modeling

Fundraising & Investor Relations

General Business Strategy

Insurance

Legal

Management/Human Resources

Marketing & Branding

Market Research

Project Management

Public Relations

Software Programming/Technology Development

Website Development

Other

Will you be able to meet in person or would you be interested in virtual calling? *

Meet in Person

Virtual Calling

A Mix of Both

Would you be interested in being featured on our website? *

Yes

No