Startup52X Confirmation Form

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This form is for Investors, Mentors, Advisers, Subject Matter Experts and Volunteers.
Please provide answers to as many questions as possible. We greatly appreciate your interest in joining us and look forward to shaking hands.

Full Name *

Main Email *

Main Phone *

Public Profile Links (preferably Linkedin, Twitter, Facebook and/or personal website) *

Interested in? *

Investor-in-Residence (1 hour weekly commitment. Preferably onsite)

Guest Investors (Can't commit to once every week, but can come in for a session)

Mentor Lead (1+ hour weekly commitment. Onsite commitment)

Mentors (1 hour weekly commitment. Preferably onsite but could be off-site)

Subject Matter Experts/Advisers (Flexible weekly commitment. Could be onsite or off-site)

Startup52 Volunteer (Flexible. please list fields of interest below. i.e. fundraising, marketing, administrative, PR & Advertising, etc

Other:

Required

I live and can meet in NYC *

Yes

Sometimes

Required

Current Location *

If in NYC, what borough? If not, what city?

Will participate *

Mostly In person

Mostly/Completely Remotely

Both

Please select mentorship/advisement preference *

Open to being assigned

Would only love to work with selected startups (Please list fields of interest below)

Other:

Required

Would you consider investing early?

Startup52 currently does not have a fund and hence cannot provide cash investments for our startups at this time. However, because of our focus on untapped communities, many of our startups need some 'support capital' to help them effectively go through the acceleration program. Would you be interested in making a small kickoff investment (between (5K - 50K) in exchange for a Simple Agreement for Future Equity or Convertible Equity?

Yes (I will love to invest in all the startups)

Yes (I will love to invest in some of the startups)

Maybe, need more info

No, but can make intros

Know any other great people like you that we could invite to participate in this awesomeness?

If Yes, we would be happy to reach out to them if you share their names and contact info below, or better yet, just share the form with them.

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