EONY 2020-21 Mentorship Program Pre-Registration Form

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The EONY Mentorship Program is an opportunity for New York-based entrepreneurs to receive one-on-one mentorship with a seasoned entrepreneur within the YPO, EO Emeritus, and EONY family to achieve high-level leadership and personal development goals. Our Mentor/Mentee pairs meet monthly in a year-long structured program driven by the Mentee’s goals and growth objectives.

Please submit your email address and complete the Pre-Registration Form below so we can better understand your background, affiliation with EO, and your desired role within the Program for the year.

Questions? Email mentorship@eonyc.org

Email *

Full Name *

Phone Number *

Company Name *

Company Website *

Job Title *

Position (Please select all that apply) *

Owner

Founder

Majority Shareholder

Other:

Required

Industry *

Interested in Program as a (Please select all that apply): *

Mentor (EO Emeritus Member)

Mentor (YPO Member)

Mentor (EO Member)

Mentor (EOA Member)

Mentor (Pre-Accelerator)

Mentee (EO Member)

Mentee (EOA Member)

Mentee (Not affiliated with EO, previously part of Mentorship Program)

Mentee (New, not affiliated with EO)

Required

If you were part of the EONY Mentorship Program last year, please share your Mentor/Mentee pairing (full name)

If you were part of the Program last year, please share if you would like to continue with the same pairing

Yes

Other:

Clear selection

If you are new or unaffiliated with EO, please share how you found out about the EONY Mentorship Program (Please select all that apply):

Referral

Organization Promotion

Other:

A copy of your responses will be emailed to the address you provided.

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