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Application Form Partner I Mentor I Consultants

Expression of Interest Form – ScaleUp Innovation Lab

I would like to formally submit my application for the role of a [Partner/Mentor/Advisor] with ScaleUp Innovation Lab. I have reviewed and understood the engagement details, responsibilities, and expectations associated with this role, and I am excited to express my interest in being associated with the Company. I acknowledge the vision and objectives of ScaleUp Innovation Lab and am committed to contributing meaningfully within the agreed framework.

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Step 1: Select Your Application Type

Step 2: Personal Information

Full Name

Email *

Phone Number *

Address

Country

State

City

LinkedIn Profile / Website: *

Current Company / Organization:

Job Title / Designation:

Nationality

Visa Status in Current Country

Step 3: Professional Background

Please describe your background, relevant experience, and areas of expertise: (Max 100 words) *

Have you mentored or invested in startups before? *

If yes, please provide brief details: *

Step 4: Application-Specific Details

Please mention your area(s) of expertise for mentorship:

Product Development
MVP Building
Go-To-Market Strategy
UI/UX Design
Branding & Positioning
Sales & Business Development
Fundraising Support
Financial Planning & Forecasting
Tech Team Hiring / Advisory
Legal or Compliance Guidance
Others (please specify)

Other

How many hours per month can you commit for mentorship?

What strategic value or network do you bring to the advisory board?

Would you be open to quarterly meetings and offering guidance as needed?

Final Declaration *

I confirm that all information provided above is true and accurate to the best of my knowledge. I understand that selection is subject to internal review and final approval by ScaleUp Innovation Lab, and may involve signing a formal agreement.

4: open Name):

Signature (Type Full Name): *

Date *

Place

STARTUP

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Application Form Partner I Mentor I Consultants

Expression of Interest Form – ScaleUp Innovation Lab

Application Form
Partner I Mentor I Consultants