Startup Shenandoah Valley Mentor Interest Form
Thank you for your interest in becoming a Mentor for the Startup Shenandoah Valley (S2V) program!  S2V is an online hybrid accelerator/incubator program for businesses creating jobs in Shenandoah Valley. We achieve this by providing premium coaching and mentorship from resources throughout the country.

Our goal is to make this a productive and rewarding experience for our mentors and for our program participants. We will work with you to identify the best fit for your interests and availability.

We appreciate your time and support!
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What is Your name? *
First Name and Last Name
Phone number *
Please use this format: ###-###-####
Email address *
LinkedIn address
What industry are you most knowledgable in? *
Select the primary field in which you have the most knowledge and feel comfortable mentoring in.
Do you have specific experience in any of the following areas? *
Select all of the areas in which you consider yourself very knowledgable.
Required
Are you a current or past founder of a company? *
Why do you want to work with entrepreneurs? *
In about a paragraph, tell us what makes you want to mentor.
What do you think are areas you can help entrepreneurs in the most? What are your "superpowers?" *
In about a paragraph, tell us what resources you are bringing to the table. We are interested in the things that give you an edge. These could include relationships, experiences, information, or anything else.
What kind of time commitment are you willing to make as a mentor? *
Required
Building a diverse and inclusive program is very important to us. These questions are optional, but will help us make better mentor-entrepreneur pairings and areas where we need to improve recruitment.
Gender
Race & Ethnicity: Please select any and all race and ethnic categories with which you identify.
Are you a military veteran?
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By clicking submit, you are agreeing to give Staunton Creative Community Fund this data for our mentor network use only. We will not share your information without your permission. If you have questions, please reach out to Ryan Hall at ryan@stauntonfund.org or Alex Andrew at alex@stauntonfund.org.
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