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Coach Interest Form
Fill out the form below and we will be in contact. Thank you for your interest in supporting this project!
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Email
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Your email
First Name
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Your answer
Last Name
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Your answer
Phone Number
Your answer
City
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Your answer
Gender
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Male
Female
Other:
Race
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Black
Hispanic or Latinx
White
Asian
Native/Indigenous American
Other:
Age Range
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18-25 Years of age
25-40 Years of age
40-60 Years of age
61+
What area(s) of expertise and experience would you like to share with members of the incubator?
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Your answer
Website or link to more information about you or your work
Your answer
How did you hear about the Alkhemy Entrepreneurial Incubator?
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Word of Mouth
Social Media
Email
Other:
How many hours are you willing to contribute Per month?
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Your answer
A copy of your responses will be emailed to the address you provided.
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