Spark Tank Mentor Application

Mentor Application

Program Location*

Your Name*

First Name

Last Name

Email Address*

Phone Number*

Mailing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Current Business / Organization

Business / Organization Name*

Your Position / Title*

Responsibilities*

I worked at another business or organization prior to this one.

Former Business / Organization #1

Business / Organization Name*

Your Position / Title*

Responsibilities*

I worked at another business or organization prior to this one.

Former Business / Organization #2

Business / Organization Name*

Your Position / Title*

Responsibilities*

Mentor Application

The average expected mentor investment of time is two hours per week throughout the course of the Spark Tank program.

Please share any preferences for pairing to an entrepreneur or any restrictions in the same pairing. Pairing preferences and restrictions can be industry-based, expertise-based, time commitment-based, etc.*

Please share your reason(s) for desiring to mentor a budding entrepreneur in the Spark Tank program.*