Startup Application

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.  
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Email *
First Name
Last Name
LinkedIn Profile (URL):
Company Name
Company URL:
Talent or Assistance Needed.  I am Seeking (a):
Additional Information on company or need:
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.
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