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TiE Austin Mentor Request Form-2020
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* Indicates required question
Mentee’s Full Name (Last & First)
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Your answer
Email Id
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Your answer
Company Name
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Your answer
Company Website
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Your answer
LinkedIn Link
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Your answer
Daytime Phone Number (Area Code + Number)
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Please Do Not add ( ) and - between numbers
Your answer
City, State
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Your answer
Education
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Your answer
Work Experience Details
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Your answer
When was, the Company founded?
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Your answer
Short Description of the Company/Venture
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Your answer
Current Stage of the Company (Idea/Concept stage, Early stage, etc.)
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Your answer
Is your company funded yet? At what level? Self-funded or other (VC, Angel, etc.)
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Your answer
What is your current revenue?
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Your answer
What is the team size and number of employees?
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Your answer
Industry Sector:
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Technology, Hardware/Software, Vertical tech market (ai, fintech, etc.)
Health Care
Banking & Financial Services
Construction
Education
Media, Art & Entertainment
Fin-Tech
Food & Drink
Retail
Pharmaceuticals
Fashion
Hospitality / Real estate
Marketing
Consulting (Specify below)
HR/Recruitment
Media, Arts, Entertainment
Chemical, Pharmaceutical
Telecommunication
Logistics, Supplychain
Other (Specify Below)
Other:
Required
What is your mentoring need?
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Starting up, set up
Scaling UP
Strategy, Marketing & Sales
HR Challenges
Finance Management
Corporate Formation and Legal Issues
Raising Funds
Other (Specify Below)
Other:
Required
What kind of support are you looking for from a mentor?
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Your answer
Do you have a business Plan? If yes, please email it to
executivedirector@austin.tie.org
Your answer
List top 3 challenges that you are facing and need mentoring for
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Your answer
What are the short term & long term goals for your company in terms of growth, vision? (List top 3)
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Your answer
Terms & Conditions - This program is offered only to TiE Austin members. Mentoring committee identifies a relevant mentor and reaches out with the request. Mentors are here to guide you on your business, please do not use this opportunity to sell your business or pitch for funding.
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I agree to terms and conditions
Required
Membership Status
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TiE Austin Member
Become a TIE Austin Member:
https://austin.tie.org/member/
Required
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