MassBioDrive Mentor Interest Form

Thanks for your interest in mentoring with MassBioDrive! Mentors play an invaluable role in helping MassBioDrive companies grow and develop. By sharing their knowledge, advice, and connections pro bono and without the expectation of reward or compensation, MassBioDrive mentors can help shape the next generation of biotechs while also giving back to the innovation ecosystem.  
 
Each selected MassBioDrive company will match with an interdisciplinary team of mentors that will serve as an advisory board throughout the course of each 8-week program. The information that you provide will be used by the selected MassBioDrive companies to better understand your skills and experience.

Additional information about our mentorship commitment can be found below. If you have any questions, please reach out to our team at drive@massbio.org.  
Section 1: About You
1.First Name(Required.)
2.Last Name(Required.)
3.Pronouns (select all that apply)(Required.)
4.Email Address(Required.)
5.Phone Number
6.Professional Title
7.Company/Organization
8.Describe your professional experience in less than 100 words(Required.)
9.Do you have experience coaching entrepreneurs or working in or with startups?(Required.)
10.What motivates you to mentor MassBioDrive startups? (< 100 words)(Required.)
11.Add a link to your LinkedIn profile or website(Required.)
Section 2: Expertise
12.Work experience level(Required.)
13.Sectors/fields of experience within the life sciences (select all that apply)(Required.)
14.Functional expertise (select all that apply)(Required.)
Section 3: Demographic Information
Underscoring MassBio's commitment to a diverse, equitable, and inclusive life sciences ecosystem, MassBioDrive is committed to supporting and advancing community members from traditionally underrepresented backgrounds. Providing this information is completely optional: whether you choose to provide this information or not will not impact your relationship with MassBio or your ability to participate in its programming. Only MassBioDrive staff will have access to this information and your responses will be kept private and secure.
15.Ethno-Racial Identity (select all that apply)
16.Gender identity (select all that apply)
17.Are you a member of the LGBTQIA+ community?
18.Do you identify as a person living with a disability?
Section 4: Mentor Commitment 
Selected MassBioDrive mentors are expected to be able to spend 1 – 3 hours per week with their companies for the course of the 8-week cohort. At the center of this commitment is a 1-hour long weekly meeting, where the company will ask for advice and provide general updates on the goals they identify during the first week of the program. Beyond that meeting, mentors are expected to be proactive and responsive to their company’s needs and engage in MassBioDrive’s networking and community events.
19.By submitting this information, you agree that you have read, understand, and agree to abide by the following terms and conditions:(Required.)