Office Hours Application Form Step 1 of 3 33% Marketing InformationFirst Name*Last Name*Email*(Your email will not be public) Phone*(Your phone number will not be shared)LinkedIn URL* Personal Twitter HandleWe'll use this to tag you in a welcome message on Social Media. N/A If unavailableIndustry*Please select your industry from the list below. AR/VR Blue Tech Cleantech Cybersecurity EdTech Energy FinTech Food or Beverage Hardware Health Innovation Internet of Things Life Sciences Robotics / AI Social Impact Entrepreneurship / Investing Sports Supply Chain Sustainability Transportation Other Other Industry?Please write in your industry if not listed aboveSubject Matter Expertise*Please select all your expertise from the list below. Artificial Intelligence/Machine Learning Automation/Robotics Business Development Communications Finance Hardware/Software Development & Engineering Human Resources Legal Investments Manufacturing/Distribution Marketing Operations Organiztional Design & Team Development Product/Project Management Pitching & Storytelling Raising Capital & Funding Strategy & Business Sustainability User Experience & Design (UX) Other ExpertisePlease list any additional expertise you would like us to considerBranding Statement*This is a one sentence description for marketing purposes. For example, "Life science business leader with diverse experiences, specializing in new products and go-to-market strategy"Full Biography*Enter your bio as you would like it to read on our websiteUpload Headshot*Please make sure the uploaded image is titled as follows: "Name.Last Name" (minimum resolution is 300x300 px)Accepted file types: jpg, jpeg, gif, png, pdf. Company InformationCompany Name*Title*(CEO, Founder, Marketing Manager)Company URL* How Do You Identify Check all that apply, or leave blank if you prefer not to say Male Female They/Them Black Latinx LGTBQ Veteran Indian Asian/Pacific Islander Other Your AvailabilitySession Description:Session description required if you are a workshop instructor. (Include details about your credentials and the content of the talk, no less than 100 words) Select Which Thursdays You'd like to Mentor*Please select which Thursdays of the month you are available. All appointments are held 3:00 - 5:00pm, and alternative hours can be discussed on a case by case basisFirst ThursdaySecond ThursdayThird ThursdayFourth Thursday
