GuideWell ScaleUp Accelerator
Interest Form - Mentor, Speaker and/or Investor
Thank you for your interest in participating in our upcoming GuideWell ScaleUp Accelerator. Please complete the following form. Additional information on the GuideWell ScaleUp Accelerator can be found at https://guidewellinnovation.com/guidewell-scale-up-accelerator/
Your Name *
Company or Organization Name *
Your Email *
Phone Number
Which of the following best describes how you would like to get involved? Please choose all that apply. *
Required
Which of the following would you like to participate in? *
Required
Tell us about yourself. Please provide a brief biography *
LinkedIn Profile *
Please provide the link to your LinkedIn profile
If you're an investor, please tell us about the type of companies you're interested in.
(Example: I'm interested in med-tech companies in Florida looking to raise $1M-$5M)
If you're an investor, choose the funding round(s) that best fits your organization. Please choose all that apply.
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