Mentor Application Form

Contact Information

Full Name*

Email*

Phone Number*

Location (City and State)*

Your LinkedIn profile URL*

Professional Experience

Name of current employer/company*

Title*

Company Website*

UCF affiliation (if any)*

Educational background*

Do you have any experience working in, or with, startups? If yes, please explain your role(s).*

Areas of Expertise

Check all areas in which you have expertise AND are interested in mentoring others.*

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 expertise

Mentoring Motivations and Expectations

What motivates you to become a Mentor for startups?*

Have you previously been a Mentor for startups? If yes, please tell us about your experience(s) and if it was a structured or unstructured program.*

Please Attach resume or CV*

Can you commit to 1-2 monthly meetings with your mentee, for a total of about 2-3 hours per month, for 6 months? *
YesNo

Is there anything else you feel we should be aware of regarding your potential involvement in this program?*