GatewayVMS Application for Mentoring Services
Email address
Name of Applicant
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Contact Information (Phone Number and Email)
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Name of Venture (If you do not have a name, please state TBD)
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Age
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Race
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Gender
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Venture Mailing Address (Must be located in the St. Louis/Metro area) Street, City, State, ZIP
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Industry Categorization (Agriculture, Banking, Food, etc.)
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Other Entrepreneurial Activity (please check all that apply, past & present)
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Who is the team? Please just list the founders and key members of the team, and the number of employees (full-time and part-time). List primary contact first: Name, Role in the Venture, E-mail address, Telephone (Best contact info)
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How did you hear about GVMS?
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Currently, what stage are you in? Please check one
Have you formed as a legal business entity (i.e. LLC, Nonprofit, etc.)? If yes, please list the type.
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What do you do? Please provide a detailed description below.
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What is the opportunity?
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What is the problem? Please provide a detailed description of the problem you are solving below.
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Who has the problem? In other words, who is your target market?
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How will you solve the problem? Please provide a detailed description below.
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How will you make money?
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Who are your main competitors?
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Is your company profitable? If so, what was your profit AND revenue for the last year?
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What is your burn rate? How much cash do you need to keep the doors open each month?
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If applicable, where did your organization’s funding/capital come from?
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Is there IP (Intellectual Property)? If so, what is the IP status?
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What areas of expertise are you looking to receive mentoring? Please check all that apply.
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Similarly, what skillsets are you looking for in a mentor? Please list below.
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How do you define success for this business venture?
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Please list the goals you want to accomplish by seeking mentorship.
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