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Please tell us more about your business and challenges

This information will help us match you with a mentor who can help you tackle your particular challenges.

We are currently: reviewing applications for the Summer 2013

Learn how the program works

Are you a Boston-area entrepreneur in need of a mentor?

Founder Mentors is a mentorship program for connecting new entrepreneurs and experienced founder mentors in the Boston area.

Not in the Boston area? Follow us on Twitter and subscribe to our blog to stay tuned to program updates.

Entrepreneur Information Survey

Contact Information

First Name *

Last Name *

Contact Email *

Twitter Handle (e.g. @xyz)

LinkedIn URL

If it's not clear from your LinkedIn profile, what other roles/companies have you been involved with that are relevant to your current startup?

Company Information

Company Name

Company URL

Company Location

How would you describe the stage of your company? (Concept, Seed, Revenue, Profitable, Growth)

What is your title/role in the company?

Describe the rest of your team (how many people, who are your cofounders, etc.)

Which of these industries best matches your business? (select all that strongly apply)

Biotechnology
Business Products & Services
Clean Technology
Computers & Peripherals
Cosumer Products & Services
Education
Financial Services
Gaming
Healthcare Equipment & Services
Industrial / Energy
Internet / Web Services
Marketing / Advertising
Media and Entertainment
Mobile
Nanotechnology
Networking and Equipment
Retailing / Distribution
Semiconductors
Software
Sports
Telecommunications
Travel

High-concept Pitch (10 words or less)

Elevator Pitch (300 characters or less)

If you are funded, who by?

How Can We Help?

Who else is currently providing you mentoring or support in your efforts?

Our mentors typically help with challenges like the following:
- Product strategy
- Customer acquisition
- Technology planning
- Management coaching
- Fundraising guidance
- Business modeling
- Product development process
- Staffing and recruiting
- Naming and branding
- Press and media relations
- Finance and accounting

What is the #1 challenge you are facing that a mentor might be able to help you tackle?

If we can't find someone to help with that, what is the #2 challenge you are facing that a mentor might be able to help you tackle?

Do you have anyone in particular you're really hoping we target as a mentor for you?

Availability Information

When is typically the best time for you to meet with a mentor?

Breakfast/coffee
Lunch
Dinner/drinks
Weekends
I'm rarely going to be able to meet in person (perhaps phone or skype)

Where would be most convenient for you to meet?

Do you have any additional thoughts or comments?

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