The Rock100 is a worldwide exclusive HBS network for alumni founders of early-stage, high growth ventures. Programming and events are tailored to the unique challenges of founders of these ventures and therefore it is critical that members are experiencing similar stages of growth and hence challenges. If you would like to be considered for the network, please fill out this nomination form.

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* 1. First Name

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* 2. Last Name

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* 3. Preferred Name

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* 4. Preferred Email Address

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* 5. Company Address

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* 6. Assistant's Contact Information (if applicable)

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* 7. Degree

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* 8. Class Year

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* 9. Title

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* 10. Current Company

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* 11. Company Website

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* 12. Company Founding Date

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* 13. When Was Your Company Founded

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* 14. Linkedin Profile Link

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* 15. Funding Type

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* 16. Annual Recurring Revenue

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* 17. Funding Raised to Date

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* 18. Industry

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* 19. Sector

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* 20. Current # of Employees

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* 21. Anticipated # of employees  at the end of 2022

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* 22. Please select your current role:

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* 23. If you are a joiner please select the role that best describes your responsibilities

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* 24. Address

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