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Mentoring Form
Personal / Contact Information
Full Name
Email Address
Phone Number
Location
Business / Professional Info
What is your current role or profession?
Are you a business owner, startup founder, or working professional?
Startup Founder
Business Owner
Working Professional
Just exploring
What industry are you in?
Mentoring Goals & Needs
What area do you need mentoring in?
Business Strategy
Leadership & Mindset
Start-up Launch
Career Growth
Time Management
Team Management
Marketing & Branding
Something else
Briefly describe your biggest challenge right now:
What do you hope to achieve through mentoring?
Availability & Preferences
How soon are you looking to start mentoring?
Immediately
Within a week
Within a month
Just exploring for now
Preferred session type:
One-on-One Mentoring
Group Sessions
Online (Zoom/Google Meet)
In-person (if applicable)
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