Full Name
Email
Phone Number
Location (City and State)
Your LinkedIn profile URL
Name of current employer/company
Title
Company Website
University affiliation (if any)
Educational background
Do you have any experience working in, or with, startups? If yes, please explain your role(s).
In what field are you most experienced? How did you gain that experience?
What do your current and former colleagues appreciate most about you and your experience?
Mentoring is a volunteer role. What experience do you have working in a volunteer capacity?
Check all that you have experience in and for which you can advise others.
Business Competencies AccountingGeneral BookkeepingPayrollBookkeeping systems Accounting basicsFunding requirements/Cashflow planning
Legal/IP Entity/company formation Entity/company structure and typePatents and protection of IPAgreementsTrademarksCopyrightMergersInternational issuesReal estateTenant representation Lease negotiationsHuman relationsHR contract negotiation
Private Investment Funding Banks and lines of credit Angel and venture funding InternationalFoundation fundingNon-dilutive fundingOther funding sources (crowd sourcing etc...) Investor pitchesPrivate equity
Government Funding Government agencies (DOD etc...)Collaborative research and development agreements State and localSmall business grants (SBIR/STTR)
Product Development Early-stage product developmentProduct management Small moleculeBiologicsMedicinal chemistryDrug designProduct design EngineeringOutsourcingProof-of-conceptPre-clinical strategies and issuesClinical development options and strategies Clinical trialsDrug discoveryDrug developmentLead optimizationContract research organization (CRO) Contract manufacturing organization (CMO)Data analysis BioinformaticsBiosensorsBiomedical engineering Design controlsHardware diagnostics
Regulatory/FDA FDA guidelines International guidelines (ISO, CE, UL)Regulatory strategyGLP / GMP / GCP complianceBiotech regulatory affairs Regulatory submissions
Manufacturing/Supply Chain FormulationOutsourcingVendor selectionQuality assurance
Market Analysis Targeting marketsMarket assessmentIndustry analysisCompetitive analysisInternational considerationsPharmaceutical industry know-howForecasting
Marketing/Sales Public relationsAgency Website developmentBrandingCollateral materialsPartnership identificationRegulatory restrictionsEstablishing a sales networkEstablishing a distribution networkBrochure, logo, etc...
Management Establishing a growth planManagement - best practicesCoaching and developmentRecruiting and outsourcing OperationsITCapitalEquipment
Business Planning Business plan creation Strategic planning Strategic partnerships Commercialization strategy Early stage business Business developmentDue diligenceFinancial modeling
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.
What expectations do you have for being a mentor in UCF BIP’s mentoring program?
What would it take to demotivate you as a mentor?
Is there anything else you feel we should be aware of regarding your potential involvement in this program?
Can you commit to 1-2 monthly meetings with your mentee, for a total of about 2 hours per month, for 6 months? * YesNo
Are you willing to sign UCF BIP's non-disclosure agreement, in order to participate in this mentoring program? * * YesNo
Any other feedback you'd like to give?
