Register as Mentor

 
Academic Title:
 
Academic Title
First Name:
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First Name
Last Name:
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Last Name
Salutation:
*
 
Position:
 
Position
Company/Organisation:
 
Company / Organisation
Street:
*
Street
Zip Code:
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Zip Code
City:
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City
Country:
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Country
EU Registration:
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I hereby confirm that I reside in the territory of one of the Copernicus Participating Countries (EU Member States + Norway and Iceland).
VAT:
 
Value Added Tax number, if applicable.
Organisation Form:
Please select the appropriate form of your organisation.
E-mail:
*
Enter an accurate e-mail address here. A validation mail will be sent to this address. Furthermore, it will be your user name to log into the ideas database.
Phone number:
*
Phone number (preferably mobile).
Image/Picture/Photo:
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Language skills:
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Please select your mother tongue.
 
Please select all other fluently spoken languages (click the box again to add more languages, if applicable).
Personal Profile:
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Please enter a short CV and outline your main business activities.
Core Competences:
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Please select one or more core competences that you have (click the box again to add more competences, if applicable).
Field of Expertise:
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Please choose up to 3 fields that match your expertise (click the box again to add more fields, if applicable). PLEASE NOTE: The selected fields of expertise will constitute the basis for the matchmaking with the participants.
References
*
Please enter at least two references of customers (preferably startups) that you have mentored.
Choose a password:
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Min 6 characters including at least one number and one special character are required!
Confirm password:
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NDA and Terms of Participation:
Acceptance of NDA and Terms of Participation:
*
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