TiE Austin Mentor Request Form-2020
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Mentee’s Full Name  (Last & First) *
Email Id *
Company Name *
Company Website *
LinkedIn Link *
Daytime Phone Number (Area Code + Number) *
Please Do Not add ( ) and - between numbers
City, State *
Education *
Work Experience Details *
When was, the Company founded? *
Short Description of the Company/Venture *
Current Stage of the Company (Idea/Concept stage, Early stage, etc.) *
Is your company funded yet? At what level? Self-funded or other (VC, Angel, etc.) *
What is your current revenue? *
What is the team size and number of employees? *
Industry Sector: *
What is your mentoring need? *
What kind of support are you looking for from a mentor? *
Do you have a business Plan? If yes, please email it to executivedirector@austin.tie.org
List top 3 challenges that you are facing and need mentoring for *
What are the short term & long term goals for your company in terms of growth, vision? (List top 3) *
Terms & Conditions - This program is offered only to TiE Austin members. Mentoring committee identifies a relevant mentor and reaches out with the request. Mentors are here to guide you on your business, please do not use this opportunity to sell your business or pitch for funding. *
Membership Status *
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