BECOME A MENTOR
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Email *
Name *
Mobile Number *
Address *
City *
Gender *
Professional Background:
Current Occupation:
Employer/Organization:
Position/Title: *
Entrepreneurial Experience:
Please describe your experience as an entrepreneur or your involvement in entrepreneurship-related activities.

 *
Mentoring Experience:
Have you served as a mentor or advisor in the past? If yes, please describe your mentoring experience. *
Why do you want to be a Mentor for the Mastering Our Business Program? *
Skills and Expertise: *
How many hours per week or month are you available to mentor program participants? *
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.
Mentorship Role: a. The Mentor agrees to provide guidance, support, and mentorship to members of the M.O.B program.
Volunteer Basis: a. The Mentor acknowledges that their role is voluntary, and no financial compensation is provided unless otherwise specified in a separate agreement.
Release and Disclaimer: a. The Mentor acknowledges and agrees that M.O.B, its organizers, and affiliates are not responsible for any interactions, collaborations, or events that occur between the Mentor and program members outside the official program activities and channels. b. By serving as a Mentor in M.O.B, the Mentor 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 Mentor 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 Mentor'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 Mentor, 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 Mentor acknowledges and agrees to the terms outlined in this Mentor Agreement, including the Release and Disclaimer. *
Required
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