Mentor Application Form

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Contact Information

Full Name *

Email *

Phone *

Location (City & State) *

LinkedIn Profile URL

Professional Experience

Name of current employer/company* *

Your Title *

unstructured or to

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 (Best practices, Leadership development, Recruitment strategy, Ownership, Board, Community Engagement, etc.)
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 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.)
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 (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* *

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

Yes
No

Media Disclosure: 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

Please attach a headshot *

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

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