Mentor Application – Matrix Entrepreneur Academy

Mentor Full Legal Name*

First Middle Last

Email*

Cell Phone*

Business Name*

Business Phone*

Available Times*

9:00 - 11:30 am
12:15 - 2:45 pm
3:00 - 5:30 pm

Please check approximate times which might work for your schedule. This is only an estimate for the future. Meeting times will be based on your availability

Available Days*

Monday
Tuesday
Wednesday
Thursday
Friday

Please check your Business Interests and Expertise (Guideline for Student Match):*

Sales of Products
Sales of Services
Management

Rank your level of interest/expertise - 0 is none & 5 is high interest:

Graphic Arts*

Accounting*

Technology*

Customer Service*

Office Machines*

Services to Adults*

Services to Children*

Starting a Business*

Administration*

Business Management*

Other

Disclaimer*

I agree

I understand that since I will be working with minors, I must submit to a fingerprint check by the FBI and possibly other federal and state authorities. I agree to fully cooperate in providing and recording as many sets of my fingerprints as necessary for such an investigation. I authorize MATRIX ENTREPRENEUR ACADEMY to conduct a criminal records check.

Name*

Date*

Company Name*

Position*

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Matrix Entrepreneur Academy

Mentor Application 2020-2021