Accelement Coaching Application
Filling out this form will help us match you with the most complimentary team of coaches at Accelement, and make it easier to pair with the appropriate companies.
Best times to reach you
Reason for wanting to coach for Accelement?
Most relevant teaching or coaching experience?
Tell us about any startup experience you've had.
Areas of primary focus in your career by industry (check all that apply.)
Industrial products (i.e. B2B sales of equipment, components)
Basic Materials (i.e. oil & gas, metals, steel, specialty chemicals)
Consumer Products (i.e. food, beverage, health and beauty)
Retail (i.e. retail storefront operations, franchising)
E-Commerce (i.e. online sales of consumer goods)
Financial Services (i.e. insurance, investments, banking, credit services)
Business Services (i.e. advertising, media, training, video production, transportation)
Technology (i.e. software, SAAS services, computers, networks, internet of things)
Healthcare (i.e. pharmaceuticals, medical equipment, health insurance, hospitals and long-term care facilities)
Other (Please Describe Below)
Functional areas of experience
Supply chain management
Human resource management
Are there other business areas you are interested in coaching?
Will you be able to commit 4 hours per month to Accelement?
If "NO" how much are you able to provide?
Is there a stage of growth you prefer to coach? (Check all that apply.)
Business Plan Development
Business Plan Competitions
Nothing but blue sky
What's the most important question you ask an entrepreneur?
Favorite business book(s) you'd suggest to a founder ?
Referred by (optional)
Anything else we should know about you?
How did you hear about us?
You understand and agree to abide by Accelement's founding principals: that we encourage diversity and are welcoming to all entrepreneurs. We are business like, polite and fair to all our members and guests.
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of Vertetude.