Startup Application
(From: xleratornetwork.com/xor)

If you are a researcher or Startup company seeking access to business mentoring or experienced executive management, complete this form and an XOR staff member will contact you for followup.
Email address *
First Name
Your answer
Last Name
Your answer
Phone
Your answer
LinkedIn Profile (URL):
Your answer
Company Name
Your answer
Company URL:
Your answer
City
Your answer
State
Your answer
Talent or Assistance Needed. I am Seeking (a):
Additional Information on company or need:
Your answer
Either I am or my Startup is currently: (Select all that apply)
If applicable, please enter University affiliation on line below.
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of University of Kentucky. Report Abuse