CERI Mentoring Program
Mentee Expression of Interest
Name
*
First Name
Last Name
Email
*
Phone Number
*
Please enter a valid phone number.
Format: 0000 000 000.
Have you had a mentor in the past OR have you ever participated in a structured mentor program? Please provide details.
*
How did you find out about the CERI Mentoring program?
*
CERI Website
From CERI Course or Event
LinkedIn
Facebook
Family/Friend
Through a CERI alumni member
Other
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About you Startup
Company/Start-up Name
*
Have you incorporated as a company?
*
Yes
No
Company/Start-up Website URL
How many are in your team?
*
What stage is the business currently at?
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Validating a concept and building a product
Building an MVP
Capital raising and iterating MVP
Market launch
Other
What sector would your company/technology best fit into?
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Management & Commerce
Health
Society & Culture
Natural & Physical Sciences
Education
Engineering & Related Technologies
Creative Arts
Information Technology
Architecture & Building
Agriculture & Environmental Studies
Food, Hospitality & Personal Services
Other
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About You
What is your role in the company?
*
eg. Founder, CEO, Managing Director
What areas are you looking to be mentored in?
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Marketing
Branding
Investing
Capital Raising
Financial advice
Consumer product
Scaling a business
R&D phases
Tech
Intellectual Property
Other
Is there someone you would like CERI to try to engage as your mentor?
If so, please provide their names, role, & contact details or LinkedIn
What areas are you most hoping to receive mentorship in? How will having a mentor help you to move forward?
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