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Leatherby Center: Application for Entrepreneurial Mentor
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1
. Student Name:
Student Name:
*
2
. Student Phone:
Student Phone:
*
3
. Student Email:
Student Email:
4
. What year are you?
What year are you?
Freshmen
Sophomore
Junior
Senior
1st year Grad Student
2nd year Grad Student
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5
. What is your major?
What is your major?
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6
. Discuss your interest in entrepreneurship:
Discuss your interest in entrepreneurship:
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7
. Have you already launched a startup?
Have you already launched a startup?
Yes
No
8
. If yes, tell us about it. If no, what idea(s) would you share with your mentor?
If yes, tell us about it. If no, what idea(s) would you share with your mentor?
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9
. What are you expectations for the mentor program?
What are you expectations for the mentor program?
10
. What are the top 3 things you seek to learn from a mentor?
What are the top 3 things you seek to learn from a mentor?
11
. You will need to drive to meet your mentor, do you have reliable transportation?
You will need to drive to meet your mentor, do you have reliable transportation?
Yes
No
12
. Are you a member of the Chapman EClub (Entrepreneur Club)?
Are you a member of the Chapman EClub (Entrepreneur Club)?
Yes
No
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