Verizon Forward for Good Accelerator: Verizon FGA Technology Board Application

Instructions:

Thank you for your interest in the Verizon FGA Technology Advisory Board. The purpose of this application is to gauge your interest in supporting startups in this program through this initiative, specifically in the area of technology, and to learn more about your expertise and professional background.

If you have questions about this form, please reach out to joshua.ness@verizon.com

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This form can be saved and continued at a later date before submitting. To save your responses scroll down to the end of the form and select save. A modal to save your responses will activate midform.

All fields marked with * are required and must be filled.
Your Name:*

First NameLast Name
Your email address:*
What is your current role at Verizon?*
Your Organization/Team:*
Are you a member of Verizon ADVANCE?*

YesNo
Please provide the link to your LinkedIn profile (optional):
What areas of technology do you have expertise? (please select all that apply)*

Artificial IntelligenceAugmented RealityVirtual RealitySpeech RecognitionImage RecognitionInternet of Things (IoT)Brain-Computer InterfaceAPIsObject RecognitionCloud Computing and/or RenderingComputing on User EquipmentOther
What below aspects of mentorship apply to you? (please select all that apply)*

Strong internal network at VerizonCurrent or past experience working with startupsExperience working with the Disability CommunityLived experience with a disabilityPast or current entrepreneurial experiencePrevious startup founderOther
Why you are interested in joining the Verizon FGA Technology Board supporting startups in this program? *
Please share any accessibility needs we should be aware of so you can fully participate as a mentor in virtual meetings and all events:
Should be Empty: