DeepTech Leaders Application Form

DeepTech Leaders Application Form

**PLEASE READ CAREFULLY BEFORE ANSWERING**
Welcome to the DeepTech Leaders CEO program.

Our exclusive program empowers current & future CEOs with the required tools to successfully lead deeptech startups, while providing insights into the real world challenges of managing a modern day deeptech startup, covering topics such as strategic capital raising and deep tech market dynamics.

You can learn more on our website - https://www.dt-leaders.com/

As part of the registration process, we have several questions in order to get to know you better and make sure that the program is a suitable fit.

The program pricing is 3,000 NIS. Discounts and scholarships are available.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Gender*

MaleFemaleOther/ Rather not say
LinkedIn URL*
How did you hear about the program?*

WhatsApp GroupLinkedIn \ FacebookPersonal \ Industry ReferralJob Post on LinkedInW2WOther
Personal Industry Referral*
Are you considering or interested in the role of CEO of a startup company in the DeepTech field?*

YesNo
What are you most interested in?*

Self enrichmentNetworkingJob searchingOther
Have you been a CEO in the past?*

YesNo
What field was the company?*

Software (including AI)DeepTech (not including AI)Other
Duration as a DeepTech CEO?*

0-3 yearsMore than 3 years
Have you worked in a senior management position during the last 3 years?*

YesNo
What field was the company?*

Software (including AI)DeepTech (not including AI)Other
In which Department?*

Business DevelopmentSalesMarketingProductOperationR&DFinanceOther
Was the position in the high-tech industry?*

YesNo
In What field? *
Do you have any entrepreneurial experience*

YesNo
Please elaborate *
Education*

No degreeBachelor's degreeMaster's degreePhD
Bachelor's degree*

BusinessIndustrial Engineering and ManagementLawEconomicHistoryPhilosophyPsychologyScience/TechOther
Science/Tech - Please elaborate *
Master's Degree*

MBALawScience/TechOther
Science/Tech - Please elaborate *
PHD - Please elaborate *
What are your expectations from the program?*

To receive a toolbox for the CEO roleTo join an elite network of DeepTech CEO'sTo create new connections with VCs in the DeepTech ecosystemPlacement in a CEO position in an existing companyEstablish a new startupOther
What specifically interests you about our DeepTech CEO program?

0/500
Past CEO
Company Field
Bachelors
Masters
Match Calculator
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CEO Multichoice 1
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CEO Calc
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