MENTORING PROGRAM APPLICATION Step 1 of 4 25% Venture InformationToday's Date* MM DD YYYY What's the name of your venture?*Venture Mailing Address* Street Address City State ZIP / Postal Code (Select One)AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Industry Category*(Select One)ConstructioneCommerceEducationEmerging Technology (AI, Bio Tech, etc.)EnergyFashion & RetailFinancial ServicesFood & BeverageHealth & WellnessNonprofitProduct/ManufacturingReal EstateSaaSSecuritySocialTechnologyTravel & TourismOtherHave you formed a legal business entity?*(Select One)YesNoType of Legal Business Entity(Select One)Sole ProprietorshipPartnershipLimited Liability Company (LLC)CorporationNonprofit CorporationWhat resources are you currently using to assist your entrepreneurial endeavors?* Principal Applicant InformationI am a...*Davidson StudentDavidson AlumniDavidson Faculty/StaffLocal EntrepreneurName of Principal Applicant* First Last Role in the Venture*Email* Phone*Are you applying on behalf of a team?*(Select One)YesNoTeam Member InformationTeam Member 2 Name Role in the Venture Email Team Member 3 Name Role in the Venture Email Team Member 4 Name Role in the Venture Email List any other members here. Business DescriptionTo help us best serve you, please answer a few questions about your venture. Don't worry about formally writing out each response like you would a business plan - just use everyday language as if you were explaining these things to your friends and family.What does your venture do?*What problem are you attempting to solve?*Who are your potential customers?*How does your venture solve the problem?*How will your venture make money?*Who are your competitors?*What is your special sauce?*In a few sentences, describe what is special about your venture and team.Does your venture have intellectual property?*In a few sentences describe the IP status. Is this something you would need help with?What is the current status of your venture?*(Select One)Idea stageReady to launchMaking revenue What do you need help with from HMP?*Please check all that apply: Idea Validation Product Creation Business Model Creation Market Strategy Fundraising Legal Help Early Team Formation Software Development Occasional Informal Feedback Other Please provide a brief statement explaining why you are looking for mentors and what you hope to get out of the program.Please select which day you would be available for your initial mentor meeting.*Monday morningsWednesday afternoonsEitherBefore you are assigned your mentor team, we have you meet with two of our mentors so that we can learn more about you and your venture in order to match you up with the best team.How did you hear about HMP?*Additional CommentsNameThis field is for validation purposes and should be left unchanged. hannah maschoffMentor Program Application04.03.2019