Thank you for your interest in the Tech Resiliency Program. This program is designed to aid technology companies who have been impacted by COVID-19 by pairing them directly with a mentor to support with specific business challenges or issues.

This survey should take between 5-10 minutes to complete. 

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* 1. Company Name:

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* 2. Company Website

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* 3. Main Contact

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* 4. Number of Employees

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* 5. Annual Revenue Range (If you uncomfortable providing this information, you can choose to give us a range instead)

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* 6. What does your company do?

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* 7. Are you looking for support in one of these categories?

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* 8. Based on which answer you selected above, can you please elaborate on the specific type of support you're looking for? For example, would you like help from a mentor in digital marketing to learn how to target your ads towards your desired clientele better. 

Please note, this will help us better understand what type of mentorship you're looking for.  

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