Mentor Interest Form

Thank you for your interest in being a FedTech mentor. We have a range of mentorship opportunities available, with different stages of deep tech companies/teams and varying levels of time commitment. If you are interested in working with cutting-edge technologies you've come to the right place. Please fill out the information below to the best of your ability; it is essential for us to make sure we can find a company that is a great fit for you! There are multiple potential experiences for validated FedTech mentors - you are someone with professional experience leveraging your skills to help startups and small businesses succeed. Your job is to act as a sounding board for companies/teams, providing strategic feedback and honest analysis of their goals and plans. We're champions of the 'mentor user experience'; we promise to never spam you, to never waste your time, and to be fully transparent. FedTech mentors are not directly compensated, but there are pathways to compensated advising within FedTech after success as a mentor. (est. time to complete - ~7 min)

First Name

Last Name

Prefix

Title/Rank

Phone Number

LinkedIn Profile

Please enter your LinkedIn Profile URL

Current Company/Organization

Please provide a short bio about your professional background.

City

State (US)

Briefly describe any previous engagements you have had with FedTech.

{name}

Which type of Mentorship are you interested in?

Accelerator Mentors: - Time Commitment: ~ 1-2 hours/month - Who you will work with: Established small businesses (~3-30 employees) interested in scaling, customer discovery, raising funding, pitching, etc. Startup Studios Mentors: - Time Commitment: ~ 10-15 hours/month - Who you will work with: Teams formed around technologies spun out of federally funded laboratories. Choose all that apply

Program Interest

What is the amount of time you can commit to being a mentor?

1-4 Hours Per Month
4-8 Hours Per Month
8-20 Hours Per Month
Other
I prefer to support on an Ad-hoc basis

Do you have previous mentorship experience?

A little bit (worked with at least 1 company)
No (no experience advising/mentoring)
Yes (Many startups / small businesses)
Yes

What motivated you to get involved as a mentor?

What is the highest degree you have earned?

(optional)

Are you or have you ever been employed by the U.S. military?

What would you consider your Core Functional Competencies?

What are your core industry areas?

Select all that apply

Gender Identity

Optional

Age

Optional

Racial Identity

Optional If answering, please select all that apply.

How did you hear about us?

Please enter today's date

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