Mentor Application

Name(Required)

First Last

Email(Required)

City(Required)

Current Title/Position (if applicable)

Current Company/Organization (if applicable)

Please upload a recent headshot(Required)

Max. file size: 50 MB.

LinkedIn URL(Required)

Personal Website URL

Gender(Required)

Do you identify as part of the LGBTQ+ community?(Required)

Are you affiliated with the U.S. Armed Forces?(Required)

Race/Ethnicity(Required)

Please provide a brief bio(Required)

Why do you want to be a Capital Factory Mentor?(Required)

Have you ever served as a company advisor or mentored at an accelerator?(Required)

If yes, please list companies/accelerators in the box

Have you ever founded a company?(Required)

Have you ever exited a company?(Required)

Please briefly explain any founded/exited companies and your role:

Have you personally helped any companies raise venture capital?(Required)

Yes

Tell us more about your experience raising capital:

Which growth stages are you most experienced with?(Required)

Are you an active investor?(Required)

Yes

Preferred customer segment(s)(Required)

What sales model(s) are you most experienced with?(Required)

In which industry verticals do you have the most experience?(Required)

What product types are you most experienced with?(Required)

With which technologies are you most experienced?(Required)

Does your schedule allow you to commit to Office Hours 2 hours per month on a recurring basis?(Required)

Yes

If you are selected to move to next steps, we will ask you to come in for Guest Office Hours. Please provide virtual connection information for your meetings (video conferencing preferred).

Did someone refer you to the Capital Factory Mentor Program? Who do you know at Capital Factory?

Advertising
Aerospace
Agriculture & Food Supply
Automotive
Business Services
Cannabis
Cleantech & Renewable Energy
Computing & Developer Tools
Construction
Cybersecurity & Privacy
Defense & Military
EdTech
Fashion & Beauty
Fintech
Fitness & Wellness
Food & Beverage
Gaming & eSports
Government Services
Healthcare
Home, Family & Lifestyle
HR & Workforce Management
Industrial & Manufacturing
Media & Entertainment
Natural Resources & Environment
Pets & Veterinary
Real Estate
Retail
Security & Public Safety
Social Impact
Supply Chain & Logistics
Telecommunications
Transportation & Mobility
Travel & Tourism
Waste Management & Sanitation
Other
Agnostic

APPLY TO BE A MENTOR