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Mentor Application
Please complete the form below to apply to join our Mentor Team!
Apply to be a Mentor
Mentor Application
Please complete the form below to apply to join our Mentor Team!
First Name
Last Name
Email
Phone Number
How did you hear about Winston Starts?
Are you local to Winston-Salem?
Yes, I'm local
No, I'm available remotely
Are you available to participate in a one-time Mentor Onboarding event here at Winston Starts?
Yes, absolutely
Unfortunately not
Tell us where you’ve been and what you’ve built!
What's your current role?
Business Owner / Founder
Executive Leadership (C-Suite / VP / Director)
Board Member
Investor
Consultant / Advisor
Retired Executive / Founder
Corporate Professional
Other (please specify below)
Other Role
Industry Experience
Areas of Expertise
Product Development
Marketing & Branding
Sales & Revenue Growth
Fundraising
Operations & Systems
Financial Strategy
Human Resources
Legal / Compliance
Technology / Engineering
Supply Chain
Exit Strategy
Investor Relations
Other (please specify below)
Other Area of Expertise
Are you currently mentoring with any other organizations?
Yes
No
If yes, care to share where?
What drives you to invest in founders?
Why do you want to be a Winston Starts Mentor?
What do you believe founders need most in their earliest stages?
If a founder leaves a session with you feeling ________, you’ve done your job well.
Submit