Business Development Mentor Application

First name*

Last name*

Email*

Phone*

Address*

Website (if applicable)

Professional Background

Current Job Title*

Organization*

Industry Expertise *

Year of Professional Experience*

Do You Have Previous Mentor of Coaching Experience?*

Yes

No

If yes please explain

Area of business expertise (check all that apply)*

Business Planning & Strategy

Marketing & Branding

Sales & Customer Acquisition

Finance & Accounting

Fundraising / Investor Relations

Legal / Compliance

Operations & Scaling

Technology / Innovation

Other

Motivation & Commitment

Why are you interested in becoming a business development mentee?*

What type of business do you have?*

Startup

For Profit

Small Business

Non-profit

Franchise

Please list the days and times you can commit per month? *

Preferred Mentorship Format*

In Person

Virtual

Hybrid

References

Full Name*

Relationship*

Email*

Full Name*

Relationship*

Email*

Agreement

I understand that by applying as a mentee, I commit to upholding the values of professionalism, confidentiality, and respect within the program.*

Yes

No

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