HCDC Business Mentor Application Form

1

Name* This field is required

First Name

Last Name

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2

Email* This field is required

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3

Phone Number* This field is required

Area Code

Phone Number

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4

Company NameLeave blank if none

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5

LinkedInLeave blank if no social media

LinkedIn URL

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6

Resume or Bio - Please attach.

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Max. file size: 10.6MB

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7

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

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8

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

Make it Super!

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9

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

List them all

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11

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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12

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

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14

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

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15

Signature Date* This field is required

Date

Month

Day

Year

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