ActivateNM Mentor Application Form

Thank you for your work mentoring local startups and to grow New Mexico. Please answer the questions below so we can get a better idea to get you involved as a mentor in ActivateNM. The estimated amount of time to complete is 10 mins.
CONTACT INFORMATION

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* 1. First Name

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* 2. Last Name

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* 3. E-mail Address

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* 4. Mailing Address

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* 5. Cell Phone Number (use numbers only)

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* 6. Preferred communication method from us for mentorship related activity

WORK INFORMATION

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* 7. Current Job Title

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* 8. Current Company you work at (If a business owner, please put which business you own.)

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* 9. Do you have a LinkedIn Profile? (If Yes, please insert a copy of LinkedIn Profile link)

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* 10. Give us your short bio for the website

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* 11. What industries do you have experience with?

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* 12. What is your Subject Matter Expertise? (Select all that apply)

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* 13. What is your Technology Expertise in? (Select all that apply)

MENTORSHIP INFORMATION

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* 14. How would you like to help our startups? (Select all that apply)

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* 15. Do have a Calendly link (or something similar) for founders to schedule a meeting with you? If so, please paste the URL here.

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* 16. Ideal Amount of Time to Mentor Per Month

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* 17. Describe in 3-6 sentences the ideal startup to mentor

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* 18. What value do you hope to receive for your time?

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* 19. Anything else we should know?

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