GatewayVMS Application for Mentoring Services
Sign in to Google to save your progress. Learn more
Email *
Name of Applicant *
Contact Information (Phone Number and Email) *
Name of Venture (If you do not have a name, please state TBD) *
Age *
Race *
Gender *
Venture Mailing Address (Must be located in the St. Louis/Metro area) Street, City, State, ZIP *
Industry Categorization (Agriculture, Banking, Food, etc.) *
Other Entrepreneurial Activity (please check all that apply, past & present) *
Required
Who is the team? Please just list the founders and key members of the team, and the number of employees (full-time and part-time). List primary contact first: Name, Role in the Venture, E-mail address, Telephone (Best contact info) *
How did you hear about GVMS? *
Currently, what stage are you in? Please check one
Have you formed as a legal business entity (i.e. LLC, Nonprofit, etc.)? If yes, please list the type. *
What do you do? Please provide a detailed description below. *
What is the opportunity?   *
What is the problem?  Please provide a detailed description of the problem you are solving below. *
Who has the problem? In other words, who is your target market? *
How will you solve the problem? Please provide a detailed description below. *
How will you make money? *
Who are your main competitors? *
Is your company profitable? If so, what was your profit AND revenue for the last year? *
What is your burn rate?  How much cash do you need to keep the doors open each month? *
If applicable, where did your organization’s funding/capital come from? *
Is there IP (Intellectual Property)? If so, what is the IP status? *
What areas of expertise are you looking to receive mentoring? Please check all that apply. *
Required
Similarly, what skillsets are you looking for in a mentor? Please list below. *
How do you define success for this business venture?   *
Please list the goals you want to accomplish by seeking mentorship. *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy