EntrepreKnew Interview Guest Form

Interview Guest Form

Please fill out all of the information below to participate in any presentation by EntrepreKnew.
Name*

First NameLast Name
Email*
example@example.com
Cell Phone Number *
Company Name*
Job Title*
Where are you based?*
What does your company do?*
Focus of the company, business model, how you make money, what is does, etc.
Social Media Links*
Meta, LinkedIn, etc...
What's the biggest challenges you've faced over past few years?
Business, project based, personal, etc.. are acceptable
Are you okay with discussing your challenges?

YesNo
Do you have a specific business/syndication/project you are raising capital?*

Yes, Reg D 506(C)Yes, Reg CFYes, Reg AYes, Reg D 506(b)Yes, multipleNoLet me explain below
If Yes, please describe
Be specific about business plan, goals, terms, etc...
Prior Experience*
Be specific about capital raising, project success, investment success, founded companies, etc.
Other topics you want to discuss or background information important to know about you*
2-3 items that's business or personal?
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Please Upload Your Headshot Here!

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Please Upload Your Lead Magnet Here!

Anything that you may want to give away?
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Do you have a funnel to collect information? If yes, what's the URL?
Include if you have a separate landing page, lead magnet, or information capture system.
Participant Release

By checking the box below, I grant and authorize EntrepreKnew, LLC the right and permission to take, edit, alter, copy, exhibit, publish, distribute, and use of any and all photographs, audio recordings, materials, or video taken of or provided by me (the “Content”) in relation to my appearance on any presentation with any member or agent of EntrepreKnew (the “Presentation”). I grant EntrepreKnew the right to use the Content and Presentation for any legal purpose. My participation in any Presentation is voluntary and I will not be paid and have no property rights to the Presentation or Content (except to the extent that Content is provided in advance). I waive any right to approve any Content or Performance before its use. I hereby hold harmless, and release EntrepreKnew and its agents from all liability, claims, and causes of action which apply to any Content that I provide.
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Interview Guest Form

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