The Rock 100 is a worldwide exclusive HBS network for alumni founders of early stage, high impact ventures. If you would like to be considered for the network, please fill out this nomination form. 

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* 1. Last Name

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* 2. Preferred Name

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* 3. Preferred Email Address

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

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* 5. Degree

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* 6. Class Year

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* 7. Current Company

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* 8. Company Website

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* 9. Brief Company Description

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* 10. Title

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* 11. Linkedin Profile Link

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* 13. Funding Raised to Date

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* 15. Industry

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