Thank you for expressing your interest in participating in the event. Please answer a few brief questions so we can best match the entrepreneurs and mentors.

* 1. Please enter your name and email address

* 2. Please give one or two examples of entrepreneurial ventures to date. (Type of business and length of your involvement / Your role and headcount of business, beginning and end of your tenure)

* 3. Please give an example or two of your previous roles as a mentor. What was the scope of the topics covered and what do feel was accomplished?

* 5. Please tell us about your industry experience

* 6. As a mentoring relationship can be impacted by personality match of the tow individuals please describe the type of individual that feel would be an ideal match for you.

* 7. If you happen to have your Myers-Brigg, DISC, Strengthfinder or other assessment enter the result please enter.

* 8. What is your primary reason for volunteering?