Mentor Intake Form
By filling out this form, you are expressing formal interest to be included among our list of mentors. This implies that our student fellows will be able to review the info you provide in this form and connect you with individual cohort teams in a given year based on experiential fit. You are free to opt out of mentorship and removed from our list at any time.

Please fill out this form, and if there is an opportunity and strong fit to connect you with a specific team, we will reach out to schedule time with them. Thanks!
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First Name *
Last Name *
Email *
Organization / Affiliation *
Org Website *
Job Title *
Please provide a link to your LinkedIn profile
 *
Please provide a link to your Calendly (or similar tool) if available
Telegram handle
Main Area of Expertise
 *
Additional Areas of Expertise
Select all that apply
Industry Verticals / Categories
Select all that apply
How did you hear about us?
 *
Also, are you a UC Berkeley alum?
 *
Please add any additional information about your background or how you can specifically provide value
Submit
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