Mentor Application | ITEN | St. Louis Tech Startups

Name*

First Last

Email*

Phone Number*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Company Name

What is your availability to connect with a startup at the moment?*

Select the categories that are most descriptive of the value that a tech startup will find in you.*

Founder: I am a founder of one or more tech startups that requires/required outside funding, OR I am the founder of a venture that is/was successful at rapid scaling without investor money
Coach: I am actively involved as an investor in a number of tech startups, OR I have been closely involved in investor-funded tech startups, such as being a C-Level leader in one or more startup(s)
Subject Matter Expert (SME): I am an expert in a particular area that is of interest to some or many entrepreneurs
Domain Expert: I have a deep knowledge of one or more particular market verticals and how to exploit them for startups (i.e. social media, big box retail, computational genomics, etc.)
Connector: I have a personal network of decision-makers, investors, industry leaders, etc.; and I am willing to make introductions for viable startups that need those connections

Your bio*

Tell us more about your value to a tech startup founder also why you want to become a mentor*

LinkedIn URL

Twitter URL

Referral

ITEN Pro Bono Agreement*

I affirm that I offer my advice and expertise to ITEN companies on a pro-bono basis. Any other arrangement with a startup will be by prior agreement with the ITEN Executive Director.

ITEN Confidentiality and Conflict of Interest Policies*