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Reprinted from Cal Poly Entrepreneurship Platform
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Mentor Application

Thank you for applying to be a Cal Poly Mentor.

Please tell us about yourself.

* Required

General Information about you


First Name


Last Name

Email


City


State

Time Zone

Telephone

LinkedIn


What is your LinkedIn URL?

Title


What is your role at your company or organization?

Operating Areas of Expertise +

If "Other", please specify

Industry Sectors +

Agriculture
BioTech / BioPharma
FinTech / Finance
Food & Beverage
Venture Capital / Fundraising
Energy (Equipment, Oil/Gas, Renewable)
Healthcare / Medical Devices / Services
Hospitality & Entertainment
Manufacturing / Industrial (Transportation, Aerospace, Services, Construction, Equipment)
Materials (Chemicals, Packaging, Commodities, Metals/Mining, Paper)
Nonprofits and Foundations
Real Estate
Technology (AI, Data Science, Software & Services, Hardware)
Telecom (Internet, Wireless)
Utilities
Other

What industry sectors are you most familiar with and can advise on?

If Other, please specify

What is your level of mentor commitment?+

Lead Mentor (commitment to a specific mentee or team) Coach (available for "Office Hours") Advisor - Subject Matter Expert (for scheduled virtual sessions providing expertise for specific challenges)
Please give us a sense of the ways in which you would like to be involved. You can select more than one.

Company Information

Company


What is the name of your company, organization or university?

Website


What is the URL for your company's website?

Products / Services +


Please describe in 1-2 sentences

Biography


Not more than 250 words

Cal Poly Alumni Status

Degree(s) - Please check all that apply+

BA
BS
MA
MS
PhD

Cal Poly College(s) for your Degree(s) +

Year of Graduation +

Headshot Photo

For your profile page - please upload to Attachments below.

This is auto-saved. Submit when ready.

Attachments

(No attached files)

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