Full Name
Title
Email
Direct Phone Number
Please select your incubator location —Please choose an option—DowntownEustisKissimmeeLake NonaOrlandoPhotonicsResearch ParkVolusia CountyWinter Springs
Your LinkedIn profile URL
Company Name
Company Website
Company Size (# of employees)
Industry
Does your company have a Board of Directors? * YesNo
Does your company have an Advisory Board? * YesNo
What is/are your biggest challenge(s) right now as C-executive of your company? How might your participation in the UCFBIP Mentoring Program help you to deal with these challenges?
Please review the list below and check 3-5 sub-topics you would like guidance on. This will help us evaluate which UCFBIP Mentors are best suited to meet your needs.
Leadership & Management Management (Best practices, Leadership development, Recruitment strategy, Ownership, Board, Community Engagement, etc.)
Business Planning, Marketing, and Sales Business Planning (Business modeling, Value proposition, Niche markets, Go-to-Market strategy, Strategic partnerships, Industry analysis, Competitive analysis, Growth planning, etc.)Marketing (Branding, Website, Collateral, Media & publicity, Channels, etc.)Sales (Sales strategy, Sales projections, Establishing and managing a sales network, etc.)
Financial Financial (Financial modeling, Financial statements, Cashflow planning, Funding strategies, etc.)Private Funding (Angel and venture funding, Funding requirements, Investor pitches, Due diligence, etc.)Government Funding (SBIR, STTR, etc.)
Legal & Compliance General Legal (Legal strategy, Agreements, Partnerships, Employment/HR, etc.)IP (IP protection strategy, Patents, Trademarks, Copyrights, etc.)Regulatory/FDA (Regulatory strategy, Regulatory compliance, etc.)
Operations Systems and processes, IT systems, Facilities, Equipment, etc.
Product Development Product Development (Early-stage product design and development, Proof-of-concept, Product testing, Production prototyping, etc.)Manufacturing/Supply Chain (Outsourcing, Vendor selection, Quality assurance, etc.)
Other Please specify any other areas of mentorship you are seeking.
Can you commit to 1-2 monthly meetings with your mentor for 6 months, plus a brief check-in call/survey with UCFBIP staff each month? * YesNo
Lastly, please describe what you would ideally get out of your participation in the UCFBIP Mentoring Program.
We may occasionally publish press releases or post on social media regarding the Mentoring Program activities. My name and photo can be used across various media outlets, including press releases and social media, for activities related to the UCFBIP Mentoring Program when appropriate. * I agree.I disagree.
Is there any other information you'd like to provide?
