BECOME AN ADVISOR
Lets make the future bright together!
Sign in to Google to save your progress. Learn more
Email *
Name *
Mobile Number *
Address *
City *
Gender *

Please briefly describe your current role and responsibilities.

 *

Provide details about your relevant educational background and qualifications.

 *

Do you have experience in entrepreneurship, education, or a related field? Please elaborate.

 *

Have you served as an advisor or mentor in any capacity before? If yes, please describe your experience.

 *
In what ways do you believe your expertise can benefit the participants of the M.O.B Program?
 *
Please specify your availability and time commitment to the program (e.g., hours per week, specific days, or flexible schedule).
 *
Preferred Mode of Mentoring:
 *
Required
How do you believe diversity and inclusivity play a role in entrepreneurship?
 *
Please provide the names and contact information of two professional references who can speak to your mentoring or entrepreneurial experience.
 *
Who recommended you; How did you hear about us?; (PLEASE LIST ANY NAMES AND/OR PROMO CODES YOU MAY HAVE)   *

Media Release Consent:

I hereby grant permission for photographs and videos of me taken during the M.O.B Program to be used for promotional and educational purposes. I understand that my personal information will not be shared without my consent.

 *
Required

Declaration:

I certify that the information provided in this application is true and accurate to the best of my knowledge.

Advisor Role: a. The Advisor agrees to provide guidance, support, and mentorship to members of the M.O.B program.

Compensation: a. Compensation details, if any, shall be outlined in a separate agreement.

Release and Disclaimer: a. The Advisor acknowledges and agrees that M.O.B, its organizers, and affiliates are not responsible for any interactions, collaborations, or events that occur between the Advisor and program members outside the official program activities and channels. b. By serving as an Advisor in M.O.B, the Advisor releases M.O.B, its organizers, and affiliates from any liability, claims, or responsibilities related to actions or events that occur independently among members outside the defined program structure.

Confidentiality: a. The Advisor agrees to keep confidential any proprietary information shared by M.O.B or its members during the term of this agreement.

Termination: a. M.O.B reserves the right to terminate the Advisor's role for any violation of program guidelines or any other reason deemed necessary by M.O.B.

Miscellaneous: a. This Agreement constitutes the entire understanding between M.O.B and the Advisor, supersedes all prior agreements, and may only be amended in writing. b. This Agreement is governed by the laws of Georgia.

By checking the box below, the Advisor acknowledges and agrees to the terms outlined in this Advisor Agreement, including the Release and Disclaimer.

 *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms