Alloy Growth Lab Mentor Application Form

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Name* This field is required.

First Name

Last Name

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Email* This field is required.

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Phone Number* This field is required.

Area Code

Phone Number

4

Company NameLeave blank if none

5

LinkedInLeave blank if no social media

LinkedIn URL

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Resume or Bio - Please attach.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

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Tell us about yourself in 20,000 words or less!* This field is required.

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What’s your startup superpower?* This field is required.

Make it Super!

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Any industries you know better than most?* This field is required.What's Your Vertical(s)?

List them all

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Our startups need introductions to potential customers. Do you have an “in” with any particular companies or groups that you would like to openly brag about?* This field is required.

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Is there anything else that you would like the startups to know about you?* This field is required.

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Signature* This field is required.I agree to be available, awesome, and willing to help in any way that I can based on my area of expertise! Once submitted, Alloy Growth Lab will review your application and follow-up with you shortly!

Clear

15

Signature Date* This field is required.

Date

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