Thank you for your interest in participating in the Mentor Smart Program at the MIT Enterprise Forum of Cambridge!
Please complete the following form in order to be evaluated for the program and matched with an appropriate Mentee
.
If you are accepted, the program is
free
but please note that you
must
be a member of the MIT Enterprise Forum of Cambridge to participate!
About you
First *
Last *
Job Title *
Company *
Email *
Mobile *
Office *
About your mentee(s)
How many teams would you like to mentor? *
1 mentee
2 mentees
N/A - is mentee
With what stage(s) of companies are you willing to work (ctrl-click to select all that apply)? *
Concept (no product/ may have a plan)
Pre-startup (prototype/ alpha or beta/ may have a plan)
Startup (some revenue/ early adopters
Emerging growth (revenues of up to $2M)
About your mentoring strengths
Industry (Choose up to 2; ctrl-click to select multiple options): *
Cleantech
FinTech
Food and Beverage
Health and Life Sciences
High Tech and Materials
IT and Software
Robotics
Security
Services
Transportation
Web Apps and Mobile
Other
Choose up to 3 areas of domain expertise that you have: *
Electronics: Computers & Networks
Electronics: Consumer
Electronics: Devices
Semiconductors
MEMS
Electronics: Games & Entertainment
Electronics: Robotics
Defense
Digital: e-Commerce
Digital: Games & Entertainment
Digital: Media & Publishing
Digital: Mobile
IT & Networking
Digital: Software & SaaS
Education
Energy & Cleantech
Life Sciences - Systems & IT
Life Sciences - Medical Devices
Life Sciences - Pharma
Operations & Manufacturing
Retail (bricks & mortar)
Services: Financial
Services: Graphics & Web Design
Services: Legal
Social & Nonprofit
Transportation (air-rail-auto)
Choose up to 3 areas of functional expertise that you have: *
Engineering & Product Dev't
Finance (accounting etc.)
Funding (VC-angel-etc.)
Graphic Design
CMS Website Dev't
Human Resources
IT
Legal
Leadership
Operations & Manufacturing
Marketing & Other Research
Sales
Business Dev't & Channel Dev't
Other
Prior mentoring experience (when/ with what organization): *
Prior startup experience (# of years, role and companies): *
Please list up to 2 references (not required but appreciated!):
How did you hear about Mentor Smart?
Newsletter from MIT Enterprise Forum
Specific Mentor Smart email from MITEF
Past Mentor Smart participant
MITEF Get Smart program
MITEF Start Smart program
MITEF Launch Smart program
Other MITEF program
MITEF website
CTA (Canadian Technology Accelerator)
Other
Standards of Behavior
I have read the Mentor Smart Standards of Behavior (http://bit.ly/MentorStandards) and agree to abide by the policies set forth and to any changes in policies set forth by the MIT Enterprise Forum of Cambridge
Yes
No
You MUST respond "Yes" to the above statement
in order to participate in the Mentor Smart program.
Send my mentoring application!
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