CERI VMP Mentee Application

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

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.

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.

6

Company/Start-up Name* This field is required.

7

Have you incorporated as a company?* This field is required.

Yes

No

8

Company/Start-up Website URL

9

How many are in your team?* This field is required.

10

What is your role in the company?* This field is required.

eg. Founder, CEO, Managing Director

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

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.