Apply to be a menor Order Number Note: Mentors need to be located in the Greater Triangle area of NC and have a strong familiarity with the local business community. Name * Name of Business * Address * City, State & Zip Code * Phone Number * Email Address * Website Years in Business * Did someone recruit you to be a mentor for the LaunchAPEX program? * YesNo If so, who? Please describe your mentoring experience: Are you an entrepreneur? * YesNo If so, how many years have you been in business? Are you a business professional or experienced mentor? * Business ProfessionalExperienced MentorBothNone If you answered yes to either option, please provide more detail to your answer: If applicable, please describe your experience mentoring entrepreneurs: Are you a certified SCORE Mentor? * YesNo Are you able to invest at least four hours a month for a minimum of six months beginning at the end of the Cohort? This could include one hour face to face and a weekly phone call * YesNo Do you feel that you possess the following personal attributes? Strong desire to help others grow and develop * YesNo Strong and active listening skills (2/3 listening, 1/3 talking) * YesNo Good at asking questions and avoiding preaching * YesNo Able to understand, deal with, and be sensitive to differences * YesNo Why would you be a good mentor? * Is there anything else you would like us to know about you? Verify Questions? Please contact Barbara Belicic at 919-372-7358 ext. 1020 or email.