Headstart Mentor - Registration Form
Headstart Mentor is a hands off mentoring session for entrepreneurs, facilitated by Headstart. Our intention is to get qualifying startups coached by the industry’s best and to build a pay-it-forward culture in the startup circuit.
It is an invite-only meet-up which aims to provide a structure to 3-4 qualifying startups to find solutions to their problems by interacting with brilliant peers and experts in their industry. A Mentor session is usually organised on specific domains (like Healthcare, EdTech etc.) or horizontals (like sales, fund raising etc.).

There is nothing you have to pay to get mentored, but you have to make a promise - to pay it forward by mentoring younger startups when you are ready and have an opportunity.

Application shortlisting is COMPLETELY AT HEADSTART'S DISCRETION and on a best effort basis. We will get back to you if you are selected.

If you have any questions, please reach Harshdeep @ 9769008847

I understand this application is only for HS Mentor sessions help at Raipur chapter only. *
Are you an early stage start-up? *
Say Yes if it is 0 to 2 years since inception
What is the Brand/Startup/App Name? *
There's a lot in a name.
Your answer
Website *
Your website URL
Your answer
What does your startup do? *
Details on what problem you are trying to solve, for whom, your product, your vision and team.
Your answer
What is your vision? *
Where do you want to take your startup in the next 5-7 years?
Your answer
How old is your startup? *
When was your company founded.
What topics do you need mentoring on? *
Your answer
Number of full time employees? *
Your answer
Name and Contact details of founder who will be attending the Mentor session? *
Put all details in this format - E.g. Abraham Lincoln / 9686868686 / ablink@gmail.com . Only one founder/co-founder is permitted to participate in HS Mentor
Your answer
Stage of your Startup *
How much revenue has your startup generated in the last 12 months? Extrapolate linearly if you are less than 1 year old. *
This is the single biggest qualifier we use. Please don't lie here. Trust us, we'll find you a great mentor when you are ready for it . And if we can accommodate you, we absolutely would. (Write 0 if not generating any revenue)
Your answer
Are you applying for specific mentor that we have announced? If yes, please mention the theme or mentor's name. *
Your answer
Links to LinkedIn Profiles of the founding team
Your answer
Link to your pitch deck, website, mobile app, and any other material you'd like us to look at
Your answer
How many events hosted by Headstart have you attended?
Do you have any specific questions/requests for the Mentor?
Specify all that you'd expect to gain from this session. We'd work with you to create a fine pitch.
Your answer
I'm willing to pay it forward by mentoring younger startup founders when I am ready and have the opportunity! *
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