Empower the Next Generation of Entrepreneurs

Take this form to be registered as a mentor

We will use your answers to fit you with a young entrepreneur that you can help grow and perform.

We will contact by email you as soon as possible to propose you to mentor a young motivated entrepreneur!

Name *

E-mail *

Current Occupation/Business

Business Industry: (e.g., Agriculture, Technology, Retail, Health, etc.)

Years of Professional Experience

Have you mentored before?

(Select of of

How many entrepreneurs are you willing to mentor simultaneously?

What specific areas can you provide guidance in? (Select up to 3)

Areas of Expertise: (Select up to 3)

What type of mentee would you prefer to work with? (Select all that apply)

Preferred Mentorship Type:

Preferred Frequency of Mentorship:

If you have mentored before, please briefly describe your experience.

Why do you want to be a mentor?

Any additional comments or details to help us pair you with the right mentor?

Have any questions? We are always open to talk about your business, new projects, creative opportunities and how we can help you.