Launch Tennessee Networks - Mentor Application
Thank you for your interest in the Launch Tennessee Networks and the opportunities to mentor and advise. In an effort to most closely match your expertise to Launch Tennessee Networks companies, please take a moment to let us know about your professional background and expertise.

For more information on Mentor Roles & Responsibilities, please visit the LaunchTN website at this link: http://launchtn.org/innovation/launchtn-networks/

Email address
First & Last Name
Your answer
Affiliation / Company
Your answer
City, State you are located
Your answer
Title
Your answer
Phone Number
Your answer
Which Network would you like to be considered to mentor? (Check all that apply)
Required
Professional Background & Expertise
Please review the next four questions and select all boxes that apply.
In what area(s) do you have expertise?
Required
In what area(s) of Life Sciences do you have expertise?
Required
In what other area(s) do you have expertise?
Please identify the categories that most closely describes your professional expertise:
Required
If applicable, please specify your research area(s).
Your answer
Please list up to three preferences for types of companies with which you'd like to work.
Your answer
Please review the Mentor Roles & Responsibilities and consider the expectations and time commitment of the Entrepreneur in Residence, Domain Expert and Panelist. Indicate below which role(s) you'd like to discuss with the Networks team.
Required
How did you hear about LTN Networks?
Your answer
Please email your resume to networks@launchtn.org. Thank you!
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This form was created inside of Launch Tennessee. Report Abuse - Terms of Service - Additional Terms