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Startup Application
(From:
xleratornetwork.com/xor
)
If you are a researcher or Startup company seeking access to business mentoring or experienced executive management, complete this form and an XOR staff member will contact you for followup.
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* Indicates required question
Email
*
Your email
First Name
Your answer
Last Name
Your answer
Phone
Your answer
LinkedIn Profile (URL):
Your answer
Company Name
Your answer
Company URL:
Your answer
City
Your answer
State
Your answer
Talent or Assistance Needed. I am Seeking (a):
Choose
Business Development Mentoring
Business Development Executive
CEO
CFO
COO
CTO
CXO
Other
Additional Information on company or need:
Your answer
Either I am or my Startup is currently: (Select all that apply)
If applicable, please enter University affiliation on line below.
working for or with a University
working with my Institution's Tech Transfer Office
not working for or with a University
Other:
A copy of your responses will be emailed to the address you provided.
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