Thank you for considering lending your support and guidance to local entrepreneurs and startups! Upon completion of the form, a member of our team will be in touch with next steps.

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* 1. First Name

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* 2. Last Name

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* 3. Pronouns

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* 4. Email

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* 5. Phone Number

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* 6. Address

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* 7. Company or Affiliation (or last applicable if currently emeritus/retired)

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* 8. Company Industry

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* 9. Job Title (or last applicable if currently emeritus/retired)

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* 10. What inspires you to want to mentor startups/founders? Your WHY...

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* 11. Please describe your past startup mentorship experience including the names of any founders or companies you have worked with.

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* 12. What specific areas of subject matter expertise can you provide founders? Please be as specific as possible (ie. "website search engine optimization" vs. "business coaching"). General business or leadership coaching is not applicable for this program.

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* 13. What industries do you have the most interest working with? (tech, consumer product, food, engineering, etc.)

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* 14. What company stage(s) do you have the most interest in working with? (Discovery/Idea, Launch, Traction, Growth)

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* 15. Please include a brief bio including professional, entrepreneurial and mentoring experience.

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* 16. Is there anything else you would like to share with us?

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* 17. How did you learn about Startup Tucson/this mentoring opportunity?

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