Apply as a Mentor | AMIU Enterprise Development and Innovation Center

Mentorship Application Form

Dear applicant,

Thank you for your interest in being part of the AMIU Health Entrepreneurship Academy and Innovation Centre Hackathon!

Please note that the submission of the form does not guarantee a mentorship position at the hackathon. Your application will go through the selection process to match your expertise with the challenges covered in the hackathon. In case your profile qualifies, we will get back to you via email.

We’re looking forward to receiving your application!

Name(Required)

First Last

Email(Required)

Phone(Required)

Education(Required)

Company/University(Required)

Job Title:(Required)

What is your company's industry?(Required)

Address(Required)

City Country

Please upload your picture here:(Required)

Max. file size: 5 MB.

Your experience(Required)

A brief Bio of yourself (≤100 words). Please note that if you are selected, we will use this bio to present you on our Hackathon website.

Indicate your 3 top skills that will help you to lead your team during the Hackathon(Required)

Do you have prior mentoring experience?(Required)

Yes

Have you already been a mentor at a hackathon?(Required)

Yes

Please provide a link to your LinkedIn profile, if available

Please provide a link to your company's Linkedin profile if available

Consent(Required)

Yes

If selected, I agree to all the information given above, excluding personal data (address, email, phone number), used for marketing and promotional purposes by the AMIU Health Entrepreneurship Academy and Innovation Centre Hackathon. If selected, I agree to my slides being shared with the Hackathon participants.

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