Mentor Application and Information Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Mentors are essential to our programs. Please keep record of your time and report it to SMTEC monthly by completing the In-kind Service Contributions Form at www.smtec.com/get-involved or by sending the information you recorded via email to inquiries@smtec.com. All of your time and efforts are greatly appreciated by us and by our Cohorts. Thank you very much for your contributions to our successful community programs.

First Name *

Last Name *

Phone *

Email Address *

Mailing Address *

City, State Zip *

Mentor Classification *

Select all that apply to you

Startup Expert

Industry Expert

Knowledge Expert

Required

Startup Expertise

Please complete this section if you are a Startup Expert. Select all that apply.

Business Model

Distribution Channels

Final Business Plan

Financial Plan

Legal Advice and IP Discovery

Operations Planning

Sales Process

Target Market

Other:

Knowledge Expert

Please complete this section if you are a Knowledge Expert. Select all that apply.

Accounting

Advertising, Marketing, Branding

Angel Investing

Audio/Video Production

Banking

Design, Engineering

Digital Media

Financial

Human Resources

Insurance

Intellectual Propriety

Legal

Social Media, Web Marketing

Technology

Other:

Industry Expert

Please complete this section if you are an expert in one or more industries. Select all that apply.

Agriculture

Aerospace

Automotive

Bio Technology

Clean Tech

Computer, IT, Programming, Software

Corrections

Defense

Energy

Gaming

Healthcare, Med. Device, Pharmaceutical

Law Enforcement

Mobile Applications

Public Safety

Technology

Telecommunication

Transportation

Other:

Please indicate programs in which you plan to participate. *

CO.STARTERS

JusticeXL

TennesSeed Camp

WorkSpace

Required

Please indicate your mentoring commitment/s. *

Functional Mentors: These are on-call professionals that are there to lend a hand on a one-off basis. That may range from accounting and legal advice, to introductions for certain needed contacts or just helping with an event.

Engaged Mentors: Working with one or more companies for 3-9 hours per month for a year or otherwise defined time period. He or she has likely founded a company or idealy has significant sector expertise in the accelerator's focus area.

Lead Mentors: Working with one or more companies for 10+ hours per month for a year or otherwise defined period. He or she has likely, and preferably, founded a company and will lend incredible guidance and support to each entrepreneur at every step of the engagement.

Required

What do you hope to take away from this mentoring opportunity? *

Please indicate best time periods for your availability:

7am - 12pm

12:01pm - 5pm

5:01pm - 9pm

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms