You can always press Enter⏎ to continue
CERI Venture Mentor Program
Thank you for expressing interest in the CERI Venture Mentor program. To start, we will need your basic contact information:
13
Questions
START
1
Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Email
*
This field is required.
Previous
Next
Submit
Press
Enter
3
Phone Number
*
This field is required.
Your best mobile number, in case we need to contact you regarding enrolment procedures
Please enter a valid phone number.
Previous
Next
Submit
Press
Enter
4
Have you had a mentor in the past OR have you ever participated in a structured mentor program? Please provide details.
*
This field is required.
Previous
Next
Submit
Press
Enter
5
How did you find out about the CERI Mentor program?
CERI Website
LinkedIn
Facebook
Family/Friend
Work colleague
Through a CERI alumni member
Other
Previous
Next
Submit
Press
Enter
6
Company/Start-up Name
*
This field is required.
Previous
Next
Submit
Press
Enter
7
Have you incorporated as a company?
*
This field is required.
Yes
No
Previous
Next
Submit
Press
Enter
8
Company/Start-up Website URL
Previous
Next
Submit
Press
Enter
9
How many are in your team?
*
This field is required.
Previous
Next
Submit
Press
Enter
10
What is your role in the company?
*
This field is required.
eg. Founder, CEO, Managing Director
Previous
Next
Submit
Press
Enter
11
What stage is the business currently at?
*
This field is required.
Validating a concept and building a product
Building an MVP
Capital raising and iterating MVP
Market launch
Other
Previous
Next
Submit
Press
Enter
12
What sector would your company/technology best fit into?
*
This field is required.
Advanced materials
Aerospace
Advanced manufacturing
AI
BioTechnology
Blockchain
Quantum computing
Robotics
Photonics
Electronics
Green energy
Agriculture
Life sciences
Pharmaceuticals
Health
Well-being
Education
Finance
eCommerce and retail
Technology
Digital Technology
Other
Previous
Next
Submit
Press
Enter
13
Finally, what areas are you most hoping to receive mentorship in? How will having a mentor help move you forward?
*
This field is required.
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
13
See All
Go Back
Submit